ADVANCE PHYSICAL THERAPY & SPORTS MEDICINE OF LEWIS COUNTY LLC - NPI NUMBER 1326058322

Summary

Provider Name: ADVANCE PHYSICAL THERAPY & SPORTS MEDICINE OF LEWIS COUNTY LLC

NPI Number: 1326058322

Clasification: Physical Therapist (225100000X)

Address:
1100 E OUTER RD S STE 1
CANTON, MO
ZIP 63435

Phone Number: (573) 288-3311



Detailed Information

ADVANCE PHYSICAL THERAPY & SPORTS MEDICINE OF LEWIS COUNTY LLC is a physical therapist in Canton, MO. The provider is (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT�s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient�s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. The assigned NPI number for this provider is 1326058322 and is registered as an organization entity type and is a single specialty group.

The provider's business address is:

1100 E OUTER RD S STE 1
CANTON, MO
ZIP 63435-701
Phone: (573) 288-3311
Fax: (573) 288-1223

The provider's authorized official is Gregory Reis .
The authorized official title is Partner and has the following contact phone number (217) 222-6800.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 7/8/2007.

Map - Location of Practice

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Taxonomy Codes

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 225100000X Physical Therapist Yes

NPI Record

No. Field Name Field Value
1 NPI 1326058322
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name ADVANCE PHYSICAL THERAPY & SPORTS MEDICINE OF LEWIS COUNTY LLC
5 Provider First Line Business Practice Location Address 1100 E OUTER RD S STE 1
6 Provider Business Practice Location Address City Name CANTON
7 Provider Business Practice Location Address State Name MO
8 Provider Business Practice Location Address Postal Code 634351701
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 5732883311
11 Provider Business Practice Location Address Fax Number 5732881223
12 Provider Enumeration Date 8/9/2006
13 Last Update Date 7/8/2007
14 Authorized Official Last Name REIS
15 Authorized Official First Name GREGORY
16 Authorized Official Title or Position PARTNER
17 Authorized Official Telephone Number 2172226800
18 Healthcare Provider Taxonomy Code 1 225100000X
19 Healthcare Provider Primary Taxonomy Switch 1 Y
20 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 7/15/2014
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