Active NPI
Victoria Folz
- Physical Therapy Assistant
- Dittmer, MO
National Provider Identifier
1992901649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 6767 Brinley Rd
Dittmer, MO 63023-2003 - Phone
- (636) 402-8397
- NPI assigned
- Jun 21, 2007
- Sex
- Female
- 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 Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
6767 Brinley Rd
Dittmer, MO 63023-2003
Mailing address
PO Box 74
Dittmer, MO 63023-0074
Phone (636) 402-8397
Other practice location 1
307 Noonan Dr
Pacific, MO 63069-1118
Phone (636) 271-9995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200148976 | Other | MO | LICENSE# |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1992901649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74",
"city": "DITTMER",
"state": "MO",
"postal_code": "630230074",
"telephone_number": "636-402-8397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6767 BRINLEY RD",
"city": "DITTMER",
"state": "MO",
"postal_code": "630232003",
"telephone_number": "636-402-8397"
}
],
"practiceLocations": [
{
"address_1": "307 Noonan Dr",
"address_purpose": "LOCATION",
"city": "Pacific",
"state": "MO",
"postal_code": "630691118",
"country_code": "US",
"telephone_number": "636-271-9995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOLZ",
"first_name": "VICTORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-21",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "200148976",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dittmer, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.