Bel Oak of Hudson House, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BEL OAK OF HUDSON HOUSE, LLC

Practice address

201 Fir Rd
Carl Junction, MO 64834-9222

Phone

(417) 782-5659

NPI assigned

Jan 22, 2025

Organization subpart

No

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

Authorized official

Name

Craig Weiner

Title

Managing Director

Phone

(417) 678-2169

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Bel Oak of Hudson House LLC

  • Physical Therapist
  • Aurora, MO
  • NPI 1164234555

  O20250409002503

  Same enrollment
• Bel Oak of Hudson House LLC

  • Physical Therapist
  • Mount Vernon, MO
  • NPI 1881406270

  O20250409002503

  Same enrollment

Practitioners 1

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

• Ka Cheuk, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Mount Vernon, MO
  • NPI 1124693742
  NPD

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1972315364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700B S HUDSON AVE",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656052717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FIR RD",
            "city": "CARL JUNCTION",
            "state": "MO",
            "postal_code": "648349222",
            "telephone_number": "417-782-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEL OAK OF HUDSON HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "417-678-2169"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 417 Pediatric Therapy
• Harold Robert Bell, D.C.
• Jerry E Botts, PHARM D
• Bruner Drugs, Inc.
• Sheila Buchele, M.D.
• Jamie Cacopardo, PEER SUPPORT SPC.

• Physical Therapist in Carl Junction, MO
• Providers in Carl Junction, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.