NPIMap

Organization Active NPI

Ozark Physical Therapy, LLP

  • Durable Medical Equipment & Medical Supplies
  • Poplar Bluff, MO
National Provider Identifier
1942272836
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OZARK PHYSICAL THERAPY, LLP
Practice address
2725 N Westwood Blvd
Suite 17
Poplar Bluff, MO 63901-2346
Phone
(573) 686-5510
Fax
(573) 686-6846
NPI assigned
Feb 3, 2006
Last updated
Feb 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Austin R Tinsley IVNPI 1568434520
Title
Partner
Phone
(573) 686-4209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

2725 N Westwood Blvd
Suite 17
Poplar Bluff, MO 63901-2346

Mailing address

2725 N Westwood Blvd
Suite 17
Poplar Bluff, MO 63901-2346
Phone (573) 686-5510

Other identifiers 2

IdentifierTypeStateIssuer
146356OtherMOBLUE CROSS BLUE SHIELD
4630980001OtherMODME NUMBER

National Provider Directory

National Provider Directory

Locations

2720 Oak Grove Rd
Poplar Bluff, MO 63901
Phone (573) 686-5510

2725 N Westwood Blvd
Ste 16
Poplar Bluff, MO 63901
Phone (573) 429-3316

508 N West St
Sikeston, MO 63801
Phone (573) 471-0110

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1942272836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 N WESTWOOD BLVD",
            "address_2": "SUITE 17",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012346",
            "telephone_number": "573-686-5510",
            "fax_number": "573-686-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 N WESTWOOD BLVD",
            "address_2": "SUITE 17",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012346",
            "telephone_number": "573-686-5510",
            "fax_number": "573-686-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK PHYSICAL THERAPY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "TINSLEY",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "573-686-4209",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "146356",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME NUMBER",
            "identifier": "4630980001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.