Lolita Gahum Concha, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2006013159 Issued in MO

Practice address

214 W 5TH St
Joplin, MO 64801-2501

Phone

(417) 782-2917

Fax

(417) 782-7038

NPI assigned

Mar 14, 2008

Sex

Female

Sole proprietor

Yes

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.

• Greater Missouri Medical Pro-Care Providers, Inc

  • Home Health Agency
  • Joplin, MO
  • NPI 1013216795
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 14, 2008.

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1972774271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W 5TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648012501",
            "telephone_number": "417-782-2917",
            "fax_number": "417-782-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W 5TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648012501",
            "telephone_number": "417-782-2917",
            "fax_number": "417-782-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCHA",
        "first_name": "LOLITA",
        "middle_name": "GAHUM",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2006013159",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Clinic of Southwest Missouri
• Community Hospices of America, LLC
• Community Hospices of America, LLC
• Compassionate Inner Awakenings Counseling, LLC
• Angela Cecile Comstock, OTR
• Patrick Connell
• Christine E. Conner, APRN
• Edgar M. Conrad IV, D.O.
• Nolan Robert Conrad
• Katie Cook

• All providers in Joplin, MO
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.