Active NPI
Physical Therapy of Warrensburg
- Physical Therapist
- Warrensburg, MO
National Provider Identifier
1982649208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David F Brummel, MED RPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34248013 | Other | MO | BCBSKC |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Physical Therapist
- Warrensburg, MO
- NPI 1518911189
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.