Springfield Physical Therapy & Rehabilitation Center Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

BUS98-04435 Issued in MO

Legal business name

SPRINGFIELD PHYSICAL THERAPY & REHABILITATION CENTER INC

Doing business as

Physical Therapy Clinic

Practice address

3259 E. Sunshine
Suite Aa
Springfield, MO 65804

Phone

(417) 887-0222

Fax

(417) 887-1916

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Debbie Y Tolliver, PT

Title

Pres

Phone

(417) 887-0222

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Physical Therapy Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debra Y Tolliver, P.T.

  • Specialist
  • Springfield, MO
  • NPI 1326100272
  Medicare reassignment NPD

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1861605735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3259 E. SUNSHINE",
            "address_2": "SUITE AA",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-887-0222",
            "fax_number": "417-887-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3259 E. SUNSHINE",
            "address_2": "SUITE AA",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-887-0222",
            "fax_number": "417-887-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD PHYSICAL THERAPY & REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "TOLLIVER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "417-887-0222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "BUS98-04435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "575901706",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Springfield OB-GYN, LLC
• Springfield Orthopaedic & Pedorthic Services, LLC
• Springfield Orthotics and Prosthetics Inc (Springfield Orthopedic Services)
• Springfield Physical Medicine and Rehabilitation, Inc
• Springfield Physical Therapy
• Springfield Physical Therapy&Rehabilitation Ctr.Inc. (dba Physical Therapy Clinic)
• Springfield Psychiatry & Addiction Medicine LLC
• Springfield Psychological Services
• Springfield Public Schools R-12
• Springfield Residential Center , Inc.

• Physical Therapy Clinic/Center in Springfield, MO
• Providers in Springfield, MO by specialty
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.