PHYSICAL THERAPY LLC NPI 1609965128

NPI Information

NPI: 1609965128
Provider Name: PHYSICAL THERAPY, LLC

Doing Business As: REPUBLIC MEDICAL SUPPLY & REPUBLIC PHYSICAL THERAPY & REHAB

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
213 US HIGHWAY 60 W
REPUBLIC, MO
ZIP 65738
Phone: (417) 732-2344
Get Directions

PHYSICAL THERAPY, LLC is a durable medical equipment medical supplies in Republic, MO. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PHYSICAL THERAPY, LLC NPI is 1609965128. The provider is registered as an organization entity type.
The provider Is Doing Business As Republic Medical Supply & Republic Physical Therapy & Rehab.

The provider's business location address is:

213 US HIGHWAY 60 W
REPUBLIC, MO
ZIP 65738-432
Phone: (417) 732-2344
Fax: (417) 732-6014

The provider's authorized official is Peterpaul Mayo Chanliongco .
The authorized official title is President and has the following contact phone number (417) 732-2344.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 2/3/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2000X	Clinic/Center	Physical Therapy	100395	MISSOURI	No
2	332B00000X	Durable Medical Equipment & Medical Supplies				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========REP	OTHER	MISSOURI	MERCY HEALTH PLANS
2	=========	OTHER	MISSOURI	PHCS
3	202177	OTHER	MISSOURI	ANTHEM BLUE CROSS BLUE SH
4	000014739	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI	MEDICARE PROVIDER #
5	=========	OTHER	MISSOURI	TRICARE
6	5840750001	MEDICARE NSC	MISSOURI
7	610616900	OTHER	MISSOURI	DEPARTMENT OF LABOR
8	DE6930	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI	MEDICARE RAILROAD PART B

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: 5/5/2024

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