Organization Active NPI

Physical Therapy of Warrensburg

  • Physical Therapist
  • Warrensburg, MO
National Provider Identifier
1982649208
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY OF WARRENSBURG
Practice address
540 E Young Ave
Suite E
Warrensburg, MO 64093-1200
Phone
(660) 747-0247
Fax
(660) 747-0347
NPI assigned
Jun 19, 2006
Last updated
Nov 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Mr. David F Brummel, MED RPTNPI 1518911189
Title
Owner/Therapist
Phone
(660) 584-7801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

540 E Young Ave
Suite E
Warrensburg, MO 64093-1200

Mailing address

540 E Young Ave
Suite E
Warrensburg, MO 64093-1200
Phone (660) 747-0247

Other identifiers 1

IdentifierTypeStateIssuer
34248013OtherMOBCBSKC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1982649208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E YOUNG AVE",
            "address_2": "SUITE E",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931200",
            "telephone_number": "660-747-0247",
            "fax_number": "660-747-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E YOUNG AVE",
            "address_2": "SUITE E",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931200",
            "telephone_number": "660-747-0247",
            "fax_number": "660-747-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY OF WARRENSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "BRUMMEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "660-584-7801",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MED RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKC",
            "identifier": "34248013",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.