Aptitude Physical Therapy, LLC

Organization Active NPI Physical Therapist · Springfield, MO

NPI 1942467675 · NPPES record last updated Jul 28, 2014

Key facts

NPI
1942467675
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
APTITUDE PHYSICAL THERAPY, LLC
Practice address
1342 E Primrose Street
Suite a
Springfield, MO 65804-4224
Phone
(417) 890-7787
Fax
(417) 890-9397
NPI assigned
May 20, 2008
Organization subpart
No

Authorized official

Name
Mr. Kelly Alan Coleman, PT
Title
Owner/Physical Therapist
Phone
(417) 890-7787

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20081022000038 MO Part B Supplier - Clinic/Group Practice 0648338541 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, MO

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X Yes

Addresses

Primary practice location

1342 E Primrose Street
Suite a
Springfield, MO 65804-4224

Mailing address

1342 E Primrose Street
Suite a
Springfield, MO 65804-4224
Phone (417) 890-7787

Other identifiers

IdentifierTypeStateIssuer
1942467675MedicaidMO

Other providers in Springfield, MO

All providers in Springfield, MO · Physical Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.