NPIMap

Organization Active NPI

Sun Lakes Physical Therapy

  • Skilled Nursing Facility
  • Mexico, MO
National Provider Identifier
1790054534
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2011035212 Issued in MO
Legal business name
SUN LAKES PHYSICAL THERAPY
Practice address
1 Veterans Way
Mexico, MO 65265-3379
Phone
(573) 581-1088
NPI assigned
Dec 23, 2011
Last updated
Dec 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Authorized official

Name
Arabella Woods
Title
Executive Operations
Phone
(417) 719-0699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2011035212 MO Primary

Addresses

Primary practice location

1 Veterans Way
Mexico, MO 65265-3379

Mailing address

PO Box 383
204 Seminary Street
Warsaw, MO 65355-0383

National Provider Directory

National Provider Directory
Tax ID family
Sun Lakes Physical Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1790054534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 383",
            "address_2": "204 SEMINARY STREET",
            "city": "WARSAW",
            "state": "MO",
            "postal_code": "653550383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VETERANS WAY",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653379",
            "telephone_number": "573-581-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN LAKES PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "ARABELLA",
        "authorized_official_title_or_position": "EXECUTIVE OPERATIONS",
        "authorized_official_telephone_number": "417-719-0699"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "2011035212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mexico, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.