Active NPI
Select Physical Therapy of Blue Springs Limited Partnership
- Physical Therapy Clinic/Center
- Blue Springs, MO
National Provider Identifier
1891721387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- SELECT PHYSICAL THERAPY OF BLUE SPRINGS LIMITED PARTNERSHIP
- Practice address
- 425 NE Mock Ave
Blue Springs, MO 64014 - Phone
- (816) 229-9640
- Fax
- (816) 229-9610
- NPI assigned
- Jun 25, 2006
- Reactivated
- Feb 21, 2008
- Last updated
- Sep 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael E Tarvin
- Title
- Vice President
- Phone
- (717) 972-1100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | MO | Primary | |
| Rehabilitation Clinic/Center | 261QR0400X |
Addresses
Primary practice location
425 NE Mock Ave
Blue Springs, MO 64014
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283385600000",
"number": "1891721387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4714 GETTYSBURG RD",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554325",
"telephone_number": "717-972-1100",
"fax_number": "717-975-9781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 NE MOCK AVE",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "64014",
"telephone_number": "816-229-9640",
"fax_number": "816-229-9610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELECT PHYSICAL THERAPY OF BLUE SPRINGS LIMITED PARTNERSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-25",
"last_updated": "2010-09-02",
"deactivation_date": "2008-01-16",
"reactivation_date": "2008-02-21",
"status": "A",
"authorized_official_last_name": "TARVIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "717-972-1100"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MO",
"license": null,
"primary": true
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.