Active NPI
Tracy Hedrick
- Physical Therapist
- Dexter, MO
National Provider Identifier
1780758144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1614 W Business US Highway 60
Dexter, MO 63841-2837 - Phone
- (573) 624-9222
- NPI assigned
- Nov 20, 2006
- Last updated
- May 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
1614 W Business US Highway 60
Dexter, MO 63841-2837
Mailing address
16189 Country LN
Dexter, MO 63841-8711
Phone (573) 624-2693
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01914 | Other | MO | LICENSE# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozark Wellness & Athletic Club | Physical Therapist | Past | Accepting new patients |
| Cardio Pulmonary Rehab | Past | Accepting new patients | |
| Ozark Physical Therapy, LLP | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Dietitian
- Poplar Bluff, MO
- NPI 1770555674
-
- Durable Medical Equipment & Medical Supplies
- Poplar Bluff, MO
- NPI 1942272836
-
- Physical Therapist
- Dexter, MO
- NPI 1215262183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1780758144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16189 COUNTRY LN",
"city": "DEXTER",
"state": "MO",
"postal_code": "638418711",
"telephone_number": "573-624-2693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1614 W BUSINESS US HIGHWAY 60",
"city": "DEXTER",
"state": "MO",
"postal_code": "638412837",
"telephone_number": "573-624-9222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDRICK",
"first_name": "TRACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "01914",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dexter, MO
- Kristin Suzanne Wheeler Guethle, NP-C
- Harps Food Stores, Inc (Harps Pharmacy #212)
- Teddy C Hatfield, M.D.
- Health Services of Dexter, Inc
- Jacob Heath, O.D.
- Hilda Fuwell's Residential Care LLC (Adaptive Services)
- Hilda Fuwells Residential Care (Adaptive Services)
- Hilda Fuwells Residential Care
- Hilda Fuwells Residential Care, LLC
- Monica V Hobbs, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.