Active NPI
Amanda Kate Parsons, DPT
- Pediatric Physical Therapist
- Republic, MO
National Provider Identifier
1962239459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 2024037981
- Practice address
- 2673 E Sawyer Rd
Republic, MO 65738-7574 - Phone
- (417) 324-7646
- NPI assigned
- Sep 18, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 2024037981 | MO | Primary |
Addresses
Primary practice location
2673 E Sawyer Rd
Republic, MO 65738-7574
Mailing address
2621 S Jefferson Ave Apt 201
Springfield, MO 65807-3752
Phone (918) 955-5022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024037981 | MO | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Strides Therapy Inc | Pediatrics | Current | Accepting new patients |
Locations
2673 E Sawyer Rd
Republic, MO 65738
Phone (417) 324-7646
Organizations & group practices 1
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": "1726617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1962239459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 S JEFFERSON AVE APT 201",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658073752",
"telephone_number": "918-955-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2673 E SAWYER RD",
"city": "REPUBLIC",
"state": "MO",
"postal_code": "657387574",
"telephone_number": "417-324-7646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARSONS",
"first_name": "AMANDA",
"middle_name": "KATE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-18",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "MO",
"license": "2024037981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Republic, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.