Active NPI
Adrian Neil Agustin, P.T.
- Physical Therapist
- Macon, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 118096
- Practice address
- 701 Sunset Hills Dr
Macon, MO 63552-2165 - Phone
- (660) 385-1625
- Fax
- (660) 385-1625
- NPI assigned
- Jun 16, 2009
- Last updated
- Sep 14, 2012
- 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 | 118096 | MO | Primary |
Addresses
Primary practice location
701 Sunset Hills Dr
Macon, MO 63552-2165
Mailing address
701 Sunset Hills Dr
Macon, MO 63552-2165
Phone (660) 385-1625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1306 US Hwy 63
Queen City, MO 63561-2251
Phone (877) 870-4976
1926 Oak St
Unionville, MO 63565-1180
Phone (977) 870-4976
3333 W 10TH St
Mid America Physical Therapy
Sedalia, MO 65301-2113
Phone (877) 870-4976
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118096 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NHC Healthcare-Macon LLC | Past | Accepting new patients | |
| Key Rehabilitation, Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mid America Physical Therapy
- Physical Therapist
- Unionville, MO
- NPI 1144389677
-
dba Macon Health Care Center
- Skilled Nursing Facility
- Macon, MO
- NPI 1215238589
-
dba GeroPsych, a division of Key Rehabilitation, Inc
- Clinical Psychologist
- Fargo, ND
- NPI 1679328975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1922235100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 SUNSET HILLS DR",
"city": "MACON",
"state": "MO",
"postal_code": "635522165",
"telephone_number": "660-385-1625",
"fax_number": "660-385-1625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 SUNSET HILLS DR",
"city": "MACON",
"state": "MO",
"postal_code": "635522165",
"telephone_number": "660-385-1625",
"fax_number": "660-385-1625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUSTIN",
"first_name": "ADRIAN",
"middle_name": "NEIL",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-16",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "118096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.