Individual provider Active NPI

Barbara Flynn, P.T.

  • Physical Therapist
  • Springfield, MO
National Provider Identifier
1942483995
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2008026916 Issued in MO
Practice address
929 E Montclair St # 104
Springfield, MO 65807-5068
Phone
(417) 888-0808
Fax
(417) 888-0811
NPI assigned
Dec 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2008026916 MO Primary

Addresses

Primary practice location

929 E Montclair St # 104
Springfield, MO 65807-5068

Mailing address

929 E Montclair, #104
Springfield, MO 65807
Phone (417) 888-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190718001190 MN Practitioner - Physical Therapist in Private Practice 6204907389 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pink Skies CorporationGroup PAC ID 8527429661, 2 clinicians

Practice addresses (Care Compare)

17761 Kenwood TRL
Lakeville, MN 55044-9493
Phone (952) 236-0415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2008026916MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pink Skies Corporation Physical Therapist CurrentSince Mar 18, 2025 Accepting new patients
Scott Chiropractic Clinic PLLC CurrentSince Oct 18, 2022 Accepting new patients
Triage Wellness Institute PA CurrentSince Jan 1, 2024 Accepting new patients
Advance Physical Therapy & Sports Medicine LLC Physical Therapist Past Accepting new patients
Advance Physical Therapy & Sports Medicine of Adams County LLC PastSince Jan 28, 2024 Accepting new patients
Advance Hannibal Regional Hospital LLC Physical Therapist Past Accepting new patients
Advance Physical Therapy & Sports Medicine of Adams County LLC Physical Therapist Past Accepting new patients
Advance Physical Therapy & Sports Medicine of Lewis County LLC Physical Therapist PastSince Aug 8, 2012 Accepting new patients

Locations

17761 Kenwood TRL
Lakeville, MN 55044
Phone (952) 236-0415

17761 Kenwood TRL
Lakeville, MN 55044
Phone (612) 203-9115

115 Old Town Rd
New Market, MN 55054
Phone (952) 226-4325

15067 Crestone Ave W
Rosemount, MN 55068
Phone (952) 322-4440

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1942483995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 E MONTCLAIR, #104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65807",
            "telephone_number": "417-888-0808",
            "fax_number": "417-888-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 E MONTCLAIR ST # 104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075068",
            "telephone_number": "417-888-0808",
            "fax_number": "417-888-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "BARBARA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2008026916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.

Verify at the official NPI Registry.