Cherry Health Center, LLC
Organization Active NPI Physical Therapist · Springfield, MO
NPI 1770628620 · NPPES record last updated Sep 23, 2011
Key facts
- NPI
- 1770628620
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 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
- Organization subpart
- No
Authorized official
- Name
- Philip L Loyd, DC
- Title
- Owner
- Phone
- (417) 869-2000
Practitioners 107
-
Maria A Carter, D.O.
-
Michael James Koban, D.C.
-
Philip L Loyd, D.C.
-
Stephanie Anne Doty, FNP-C
-
Lea Annette Bailey, PA-C
-
Nishua F Bendt, DO
-
Derek B Benz, PA-C
-
Anna Biernbaum, PA
-
Bennett Adam Bolyard, D.O.
-
Kurt Russell Bravata, M.D.
-
Brad Wesley Brown, FNP
-
Heidi C Calipjo, M.D.
-
Mira Choe, M.D.
-
Angela Coleen Moore Clay, D.O.
-
Tobin Scott Crow, DO
-
Cynthia N Dancey, PA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Surgery |
1355317033 | Practice locations: Springfield, MO |
National Provider Directory
Locations
607 W Battlefield St
Springfield, MO 65807
Phone (417) 869-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | |||
| Physical Therapist |
225100000X | Yes |
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
Other providers in Springfield, MO
- Staci Chenot
- Amelia Chenoweth
- Aparna Cherla
- Gautam Cherla
- Chris E Chernesky
- Debbie L. Cherry
- Jacob Cherry
- Lyndsey E.M. Cherry
- Matthew S Cherry
- Steven K Cherry
All providers in Springfield, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.