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CAPITAL REGION MEDICAL CENTER NPI 1215057542


NPI Information

NPI: 1215057542
Provider Name: CAPITAL REGION MEDICAL CENTER
Classification: Physical Therapist - 2251C2600X
Entity Type: Organization

Specialization: Cardiopulmonary

Address:
1015 MOREAU DR
JEFFERSON CITY, MO
ZIP 65101
Phone: (573) 634-2570
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CAPITAL REGION MEDICAL CENTER is a cardiopulmonary physical therapist in Jefferson City, MO. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Cardiovascular & Pulmonary Physical Therapy, who has demonstrated specialized knowledge and skill in cardiovascular and pulmonary anatomy and physiology medicine, rehabilitation, critical care, and emergency and trauma. CAPITAL REGION MEDICAL CENTER NPI is 1215057542. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1015 MOREAU DR
JEFFERSON CITY, MO
ZIP 65101-518
Phone: (573) 634-2570

The provider's authorized official is Ed Farnsworth .
The authorized official title is Preseident and has the following contact phone number (573) 632-5000.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251C2600XPhysical TherapistCardiopulmonary2005010777MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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