| Springfield Physical Therapy | |
|
929 E Montclair, Suite 104, Springfield, MO 65807 | |
| (417) 888-0808 | |
| (417) 888-0811 |
| Full Name | Springfield Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 929 E Montclair, Springfield, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548219447 | NPI | - | NPPES |
| 169735 | Other | MO | BCBS |
| DC9496 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | R1012 (Missouri) | Primary |
| Provider Name | Bradley Tom Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851341234 PECOS PAC ID: 0648374777 Enrollment ID: I20120202000870 |
| Provider Name | Jonathan Dw Reagan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134217698 PECOS PAC ID: 1456501923 Enrollment ID: I20121017000911 |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Physical Therapy 929 E Montclair, Suite 104, Springfield, MO 65807 Ph: (417) 888-0808 | Springfield Physical Therapy 929 E Montclair, Suite 104, Springfield, MO 65807 Ph: (417) 888-0808 |
Mrs. Amy Alison Sanders, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2960 N Eastgate Ave, Springfield, MO 65803 Phone: 417-889-9773 | |
Matt Taylor, PT, DPT, CWS, WCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2017 W Woodland St, Springfield, MO 65807 Phone: 417-889-4800 Fax: 417-889-0980 | |
Mr. Stanley Lee Brown, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 902 W Battlefield St, Springfield, MO 65807 Phone: 417-886-6200 Fax: 417-886-6201 | |
Carla Williams, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3545 S National Ave, Springfield, MO 65807 Phone: 417-269-9682 Fax: 417-269-5508 | |
Mrs. Erin Michelle Kirsch, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 639 W Chestnut Expy, Springfield, MO 65802 Phone: 417-523-7500 Fax: 417-523-7595 | |
Ronald Lee Sapp I, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3545 S National Ave, Springfield, MO 65807 Phone: 417-875-3125 Fax: 417-269-5508 | |
Dr. Tamra Holmes Standage, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2900 S National Ave Ste A, Springfield, MO 65804 Phone: 417-269-8355 Fax: 417-269-8854 |