Active NPI
Paula Jean Parker, PT
- Physical Therapist
- Mount Vernon, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 114999
- Practice address
- 334 E Mount Vernon Blvd
Mount Vernon, MO 65712-2024 - Phone
- (417) 423-7409
- Fax
- (417) 423-7411
- NPI assigned
- Oct 2, 2006
- 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 | 114999 | MO | Primary |
Addresses
Primary practice location
334 E Mount Vernon Blvd
Mount Vernon, MO 65712-2024
Mailing address
17134 Bel Ray PL
Belton, MO 64012-5331
Phone (816) 226-4011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA4370057 | Other | MO | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Missouri, Columbia School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 1St Capitol Dr
Apt 1
Saint Charles, MO 63301-1660
Phone (636) 242-1764
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Wellness Kansas City, LLC | Current | Accepting new patients | |
| Physical Therapy of Joplin | Physical Therapist | Current | Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Missouri LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Missouri LLC | Physical Therapist | Current | Accepting new patients |
Locations
1227 E 32nd St
Ste 7
Joplin, MO 64804
Phone (417) 624-7400
1800 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 255-8094
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Saint Charles, MO
- NPI 1417479494
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Kansas City, MO
- NPI 1083208391
Physical Therapist
-
- Physical Therapist
- Joplin, MO
- NPI 1851579601
-
- Rehabilitation Clinic/Center
- Columbia, MO
- NPI 1558932327
Physical Therapist
-
- Rehabilitation Clinic/Center
- Liberty, MO
- NPI 1174299044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1780777367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17134 BEL RAY PL",
"city": "BELTON",
"state": "MO",
"postal_code": "640125331",
"telephone_number": "816-226-4011",
"fax_number": "816-524-6115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 E MOUNT VERNON BLVD",
"city": "MOUNT VERNON",
"state": "MO",
"postal_code": "657122024",
"telephone_number": "417-423-7409",
"fax_number": "417-423-7411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "PAULA",
"middle_name": "JEAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "114999",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "MA4370057",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.