Show Me Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2005010779 Issued in MO

Legal business name

SHOW ME PHYSICAL THERAPY LLC

Practice address

1870 Commercial Street
Warsaw, MO 65355

Phone

(660) 723-4064

Fax

(949) 861-9331

NPI assigned

Jun 23, 2016

Organization subpart

No

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

Authorized official

Name

Randy Shane Johnson, P.T.

Title

Owner

Phone

(660) 723-4064

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1801247523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17454 HENSLEY RD",
            "city": "WARSAW",
            "state": "MO",
            "postal_code": "653555732",
            "telephone_number": "660-723-4064",
            "fax_number": "949-861-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 COMMERCIAL STREET",
            "city": "WARSAW",
            "state": "MO",
            "postal_code": "65355",
            "telephone_number": "660-723-4064",
            "fax_number": "949-861-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOW ME PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-723-4064",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2005010779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Dale Rosenboom, PSY.D.
• Megan Rowland, NP
• Samuel and Jill Hieronymus
• Sedalia Eye Associates, P. C.
• Keith Edward Segall, DO
• Derek Lee Smith, PTA
• Drew A Smith, M.D.
• Lauren Sons, LMSW
• Michael Sperry, PHARMD
• Peter Howard Steadman, DMD

• Physical Therapist in Warsaw, MO
• Providers in Warsaw, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.