Denise L Brummel, RPT

Individual provider Active NPI Physical Therapist · Higginsville, MO

NPI 1790728442 · NPPES record last updated Apr 14, 2010

Key facts

NPI
1790728442
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
01134 (MO)
Practice address
720 Fairground Avenue
Physical Therapy of Higginsville
Higginsville, MO 64037
Phone
(660) 584-7801
Fax
(660) 584-8619
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy of Higginsville Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 01134 MO Yes

Addresses

Primary practice location

720 Fairground Avenue
Physical Therapy of Higginsville
Higginsville, MO 64037

Mailing address

720 Fairground Ave
Higginsville, MO 64037-1638
Phone (660) 584-7801

Other identifiers

IdentifierTypeStateIssuer
33516029OtherMOBCBSKC

Other providers in Higginsville, MO

All providers in Higginsville, MO · Physical Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.