Cynthia Therese Badolian, PTA

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2019029196 Issued in MO

Practice address

1622 Porter Wagoner Blvd Ste 1
West Plains, MO 65775-1806

Phone

(417) 204-9696

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cynthiabadolian@ptsci.allscriptsdirect.net

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.

• Badolian Enterprises, Inc

  • Public Health or Welfare Agency
  • West Plains, MO
  • NPI 1063295897
  NPD Authorized official
• Physical Therapy Specialist Clinic, Inc.

  • Physical Therapist
  • West Plains, MO
  • NPI 1659312619

  Physical Therapy Assistant

  NPD

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1861584658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 COUNTY ROAD 1820",
            "city": "POMONA",
            "state": "MO",
            "postal_code": "657899171",
            "telephone_number": "417-204-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 PORTER WAGONER BLVD STE 1",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657751806",
            "telephone_number": "417-204-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADOLIAN",
        "first_name": "CYNTHIA",
        "middle_name": "THERESE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2019029196",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2006029256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawson Austin
• Toni Raee Autrey, LCSW
• Bruce Autry
• Jennnifer Avgerinos
• Badolian Enterprises, Inc
• Tia Baldridge
• Amber Gianina Baldwin, L.M.T.
• Dodie L Ballard
• Husam A Barakat, M. D.
• Sharon Ann Barbee, LCSW

• All providers in West Plains, MO
• Massage Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.