NPIMap

Organization Active NPI

Physical Therapy by Phoenix of Springfield LLC

  • Physical Therapy Clinic/Center
  • Springfield, MO
National Provider Identifier
1831785559
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSICAL THERAPY BY PHOENIX OF SPRINGFIELD LLC
Practice address
1839 E Independence St Unit R
Springfield, MO 65804-3753
Phone
(316) 260-3311
Fax
(316) 260-6696
NPI assigned
Dec 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Authorized official

Name
Scott HarndenNPI 1255423075
Title
Executive Directory of Therapy
Phone
(913) 967-9820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1839 E Independence St Unit R
Springfield, MO 65804-3753

Mailing address

12627 E Central Ave Ste 308
Wichita, KS 67206-2839
Phone (316) 260-3311

Other names 1

  • Physical Therapy by Phoenix Doing business as

National Provider Directory

National Provider Directory

Locations

1839 E Independence St
#R
Springfield, MO 65804
Phone (417) 708-5174

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1831785559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12627 E CENTRAL AVE STE 308",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062839",
            "telephone_number": "316-260-3311",
            "fax_number": "316-260-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 E INDEPENDENCE ST UNIT R",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043753",
            "telephone_number": "316-260-3311",
            "fax_number": "316-260-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY BY PHOENIX OF SPRINGFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "HARNDEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTORY OF THERAPY",
        "authorized_official_telephone_number": "913-967-9820"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy by Phoenix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.