Coby Thrailkill
Individual provider Active NPI Physical Therapy Assistant · Green Ridge, MO
NPI 1942996848 · NPPES record last updated Dec 8, 2025
Key facts
- NPI
- 1942996848
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2019011918 (MO)
- Practice address
- 104 E Cooper St
Green Ridge, MO 65332-1025 - Phone
- (660) 988-4902
- NPI assigned
- Apr 13, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP042840A | GA | MD | Physical Therapy Assistant |
| CP022192A | IA | MD | Physical Therapy Assistant |
| PT20240095 | NM | MD | Physical Therapy Assistant |
| CP044036A | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yes Therapy LLC | Physical Therapy Assistant | Current |
Accepting new patients |
Locations
104 E Cooper St
Green Ridge, MO 65332
Phone (660) 988-4902
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | CP042840A | GA | |
| Physical Therapy Assistant | 225200000X | PT20240095 | NM | |
| Physical Therapy Assistant | 225200000X | CP022192A | IA | |
| Physical Therapy Assistant | 225200000X | 2019011918 | MO | Yes |
| Physical Therapy Assistant | 225200000X | CP044036A | OK |
Addresses
Primary practice location
104 E Cooper St
Green Ridge, MO 65332-1025
Mailing address
104 E Cooper St
Green Ridge, MO 65332-1025
Phone (660) 988-4902
Other providers in Green Ridge, MO
- Claressa Kay Chamberln
- Green Ridge R-VIII School District
- Angela Hagedorn
- Regional Health Care Clinic, Inc.
- Yes Therapy LLC
All providers in Green Ridge, MO · Physical Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.