NPIMap

Organization Active NPI

Cherry Health Center, LLC

  • Physical Therapist
  • Springfield, MO
National Provider Identifier
1770628620
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CHERRY HEALTH CENTER, LLC
Practice address
607 W Battlefield St
Springfield, MO 65807-4123
Phone
(417) 869-2000
Fax
(417) 889-4755
NPI assigned
Feb 20, 2007
Last updated
Sep 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Philip L Loyd, DCNPI 1538223201
Title
Owner
Phone
(417) 869-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

607 W Battlefield St
Springfield, MO 65807-4123

Mailing address

607 W Battlefield St
Springfield, MO 65807-4123
Phone (417) 869-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040903000288 MO Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1355317033 Practice locations: Springfield, MO
O20081024000637 MO Part B Supplier - Clinic/Group Practice 1355317033 Receives reassigned benefits from 7 practitioners
Practice locations: Springfield, MO
O20100930086358 MO DME Supplier - Physician - General SurgeryDME Supplier - Independently-Practicing Physical Therapist 1355317033 Practice locations: Springfield, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770628620. Details of each certification follow.

  • CCN 266644 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 266644

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CHERRY HEALTH CENTER
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Feb 21, 2005
Last certification
Dec 19, 2023
Ownership / control type
Proprietary
Facility address
607 West Battlefield
Springfield, MO 65807

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 107

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 107

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1770628620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W BATTLEFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074123",
            "telephone_number": "417-869-2000",
            "fax_number": "417-889-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W BATTLEFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074123",
            "telephone_number": "417-869-2000",
            "fax_number": "417-889-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "LOYD",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-869-2000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.