Active NPI
Terry L. Publow, P.T.
- Physical Therapist
- Blue Springs, MO
National Provider Identifier
1811104490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- R1402
- Practice address
- 1131 W Main St
Blue Springs, MO 64015-3611 - Phone
- (816) 229-1941
- NPI assigned
- May 16, 2007
- Sex
- Male
- 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 | R1402 | MO | Primary |
Addresses
Primary practice location
1131 W Main St
Blue Springs, MO 64015-3611
Mailing address
1131 W Main St
Blue Springs, MO 64015-3611
Phone (816) 229-1941
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1402 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554076800000",
"number": "1811104490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 W MAIN ST",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640153611",
"telephone_number": "816-229-1941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 W MAIN ST",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640153611",
"telephone_number": "816-229-1941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUBLOW",
"first_name": "TERRY",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2019-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "R1402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.