Active NPI
Advance Phycial Therapy & Sports Med
- Physical Therapist
- Kirksville, MO
National Provider Identifier
1891985776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02255
- Legal business name
- ADVANCE PHYCIAL THERAPY & SPORTS MED
- Practice address
- 1108 E Patterson St
Suite 6
Kirksville, MO 63501-4002 - Phone
- (660) 665-5333
- Fax
- (660) 665-5332
- NPI assigned
- Jul 27, 2007
- 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
- Ms. Amy Marie Fleshman, P.T
- Title
- P.T./Owner
- Phone
- (660) 665-5333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 02255 | MO | Primary |
Addresses
Primary practice location
1108 E Patterson St
Suite 6
Kirksville, MO 63501-4002
Mailing address
1108 E Patterson St
Suite 6
Kirksville, MO 63501-4002
Phone (660) 665-5333
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170596 | Other | MO | BCBS |
| 990001800 | Other | MO | MEDICARE |
| 432216 | Other | MO | HEALTHLINK |
| 487853517 | Medicaid | MO |
Other names 1
- Advances in Therapy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280361600000",
"number": "1891985776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 E PATTERSON ST",
"address_2": "SUITE 6",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635014002",
"telephone_number": "660-665-5333",
"fax_number": "660-665-5332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 E PATTERSON ST",
"address_2": "SUITE 6",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635014002",
"telephone_number": "660-665-5333",
"fax_number": "660-665-5332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCE PHYCIAL THERAPY & SPORTS MED",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-27",
"last_updated": "2010-07-29",
"status": "A",
"authorized_official_last_name": "FLESHMAN",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "P.T./OWNER",
"authorized_official_telephone_number": "660-665-5333",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "P.T"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MO",
"license": "02255",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "170596",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "990001800",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "432216",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "487853517",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advances in Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Kirksville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.