Physical Therapy of Joplin

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

114999 Issued in MO

Legal business name

PHYSICAL THERAPY OF JOPLIN

Practice address

1227 E 32ND St
Suite 7
Joplin, MO 64804-2811

Phone

(417) 624-7400

Fax

(417) 624-7403

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Paula Jean Parker, PTNPI 1780777367

Title

Clinic Manager/Owner

Phone

(417) 624-7400

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Paula Jean Parker, PT

  • Physical Therapist
  • Mount Vernon, MO
  • NPI 1780777367
  NPD Authorized official

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1851579601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 E 32ND ST",
            "address_2": "SUITE 7",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042811",
            "telephone_number": "417-624-7400",
            "fax_number": "417-624-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 E 32ND ST",
            "address_2": "SUITE 7",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042811",
            "telephone_number": "417-624-7400",
            "fax_number": "417-624-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY OF JOPLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CLINIC MANAGER/OWNER",
        "authorized_official_telephone_number": "417-624-7400",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "114999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ANTHEM",
            "identifier": "000000572905",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Phillips, DO
• Erin Marie Phipps, BCBA, LBA
• Brian Pholvichitr
• PHS Mo Ananke LLC (PHS - Portable Health Solutions)
• PHS Mo Ananke LLC
• Physicians Medical Clinic, LLC
• Nathan Rey Piccoli, DO
• Angela N Piepenbrink, LPN
• Emilee A Pierce
• Kindra Kay Pierce, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.