Active NPI
Gary W Fite, P.T.
- Physical Therapist
- Brookfield, MO
National Provider Identifier
1881731776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00665
- Practice address
- 130 E Lockling St
Brookfield, MO 64628-2337 - Phone
- (660) 258-2222
- NPI assigned
- Jan 31, 2007
- Last updated
- Jul 8, 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 | 00665 | MO | Primary |
Addresses
Primary practice location
130 E Lockling St
Brookfield, MO 64628-2337
Mailing address
103 E Park St
Brookfield, MO 64628-1716
Phone (660) 258-7790
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00665 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881731776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 E PARK ST",
"city": "BROOKFIELD",
"state": "MO",
"postal_code": "646281716",
"telephone_number": "660-258-7790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 E LOCKLING ST",
"city": "BROOKFIELD",
"state": "MO",
"postal_code": "646282337",
"telephone_number": "660-258-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITE",
"first_name": "GARY",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "00665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, MO
- David Loris Dollins, D.O.
- Uraina Domon, MSW
- Dennis Craig Engquist Sr., RPH
- Heather Jo Evans, MSN, FNP-C
- Denise Ewing
- Gardner Pharmacy Services Inc (Green Hills Pharmacy)
- Gardner Pharmacy Services Inc (Green Hills Pharmacy)
- Gardner Pharmacy Services, Inc. (Green Hills Pharmacy)
- David Nicholson Gardner, R.PH.
- Mallory Sierra Gardner, PHARM.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.