Active NPI
Linda Delp
- Physical Therapy Assistant
- Columbia, MO
National Provider Identifier
1902353584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2013000140
- Practice address
- 1100 Club Village Dr
Suite 103
Columbia, MO 65203-4409 - Phone
- (573) 256-2777
- NPI assigned
- Sep 1, 2016
- Last updated
- Sep 1, 2016
- Sex
- Female
- 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 Therapy Assistant | 225200000X | 2013000140 | MO | Primary |
Addresses
Primary practice location
1100 Club Village Dr
Suite 103
Columbia, MO 65203-4409
Mailing address
20996 Monroe Rd 471
Stoutsville, MO 65283
Phone (618) 535-4017
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 |
|---|---|---|---|
| 2013000140 | MO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1902353584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20996 MONROE RD 471",
"city": "STOUTSVILLE",
"state": "MO",
"postal_code": "65283",
"telephone_number": "618-535-4017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 CLUB VILLAGE DR",
"address_2": "SUITE 103",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034409",
"telephone_number": "573-256-2777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELP",
"first_name": "LINDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MO",
"license": "2013000140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.