Waynesville Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

02189 Issued in MO

Legal business name

WAYNESVILLE PHYSICAL THERAPY

Practice address

23675 Roswell LN
Waynesville, MO 65583-2738

Phone

(573) 774-5567

Fax

(573) 774-5567

NPI assigned

Jun 7, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Michael Tupas Laguitao, PTNPI 1437345360

Title

Chief Operating Officer

Phone

(573) 528-1755

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Tupas Laguitao, P.T.

  • Physical Therapist
  • Waynesville, MO
  • NPI 1437345360
  NPD (past) Authorized official

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1780022137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23675 ROSWELL LN",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "65583",
            "telephone_number": "573-774-5567",
            "fax_number": "573-774-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23675 ROSWELL LN",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655832738",
            "telephone_number": "573-774-5567",
            "fax_number": "573-774-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNESVILLE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "LAGUITAO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TUPAS",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "573-528-1755",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "02189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "486647308",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah J Wagner
• Rebecca Jean Wanosik, CPM
• Shawn Warren
• Thomas Wayne Washburn, PSYD, LPC
• Waynesville Medical Investors, LLC (Life Care Center of Waynesville)
• Waynesville R-VI School District
• Jacqueline S. Welborn, MA, PLPC, CSACII
• Amanda White, AUD
• Diane White, LPC
• Ashley Wildrick

• Physical Therapy Clinic/Center in Waynesville, MO
• Providers in Waynesville, MO by specialty
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.