Active NPI
Dave Bremer, P.T.
- Physical Therapist
- Republic, MO
National Provider Identifier
1962643338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2002004650
- Practice address
- 5030 S Westwood Dr
Republic, MO 65738 - Phone
- (417) 235-8770
- Fax
- (417) 235-8780
- NPI assigned
- Mar 16, 2009
- Last updated
- May 22, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2002004650 | MO | Primary |
Addresses
Primary practice location
5030 S Westwood Dr
Republic, MO 65738
Mailing address
5030 S. Westwood Drive
Republic, MO 65738
Phone (417) 235-8770
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lowry & Associates, LLC | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Monett, MO
- NPI 1164585626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590105600000",
"number": "1962643338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5030 S. WESTWOOD DRIVE",
"city": "REPUBLIC",
"state": "MO",
"postal_code": "65738",
"telephone_number": "417-235-8770",
"fax_number": "417-235-8780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5030 S WESTWOOD DR",
"city": "REPUBLIC",
"state": "MO",
"postal_code": "65738",
"telephone_number": "417-235-8770",
"fax_number": "417-235-8780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREMER",
"first_name": "DAVE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-16",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2002004650",
"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 May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.