FARMINGTON SPORTS AND REHABILITATION JOINT VENTURE (NPI# 1568513646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568513646 |
| Entity Type | Organization |
| Organization Name | FARMINGTON SPORTS AND REHABILITATION JOINT VENTURE |
| Practice Address |
602 Maple Valley Dr Farmington MO 63640-1976 |
| Practice Telephone | 5737562999 |
| Practice Fax Number | 5737566195 |
| Mailing Telephone | 5737562999 |
| Mailing Fax Number | 5737566195 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2020-01-06 |
| Authorized Official Name | MS. CATHERINE A DULLE (PRESIDENT OF PARTNERSHIP) |
| Authorized Official Telephone | 5735068800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 578631509 | 05 |
| Street Address |
602 MAPLE VALLEY DR |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889557 | Brittany Ernst-mcveigh | Physical Therapist | 602 Maple Valley Dr, Farmington, MO 63640-1976 | 2020-01-06 |
| 1982056727 | Cassandra Renee Lietzau-mourer | Physical Therapist | 602 Maple Valley Dr, Farmington, MO 63640 | 2016-07-05 |
| 1841670221 | Aaron Baker | Physical Therapist | 602 Maple Valley Dr, Farmington, MO 63640-1976 | 2015-06-01 |
| 1285984112 | Randy A. Stepp | Speech-Language Pathologist | 602 Maple Valley Dr, Farmington, MO 63640-1976 | 2012-09-18 |
| 1093060808 | Clinton Dale Rice | Physical Therapist | 602 Maple Valley Dr, Farmington, MO 63640-1976 | 2012-07-17 |
| 1548531544 | Kathryn Sue Wiles | Physical Therapist | 602 Maple Valley Dr, Farmington, MO 63640-1976 | 2012-01-23 |
| 1629305289 | Cherie M Haug | Physical Therapist | 602 Maple Valley Dr, Farmington, MO 63640-1976 | 2009-11-03 |
| 1992031579 | Lisa Michelle West | Physical Therapist | 602 Maple Valley Dr, Farmington, MO 63640-1976 | 2009-11-02 |
| 1891021465 | David Ross Buerck | Physical Therapist | 602 Maple Valley Dr, Farmington, MO 63640-1976 | 2009-11-02 |
| 1457687030 | Robert Anthony Suiter | Physical Therapist | 602 Maple Valley Dr, Farmington, MO 63640-1976 | 2009-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427564590 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 176 Livermore Falls Rd Unit 1, Farmington, ME 04938-6243 | 2017-12-27 |
| 1063061158 | Rainbow Rehabilitation Centers, Inc. | Clinic/Center | 32715 Grand River Ave, Farmington, MI 48336-3113 | 2019-09-10 |
| 1477971075 | Kids Unlimited of Washington County Inc | Clinic/Center | 120 Southwinds Rd Ste 2, Farmington, AR 72730-8652 | 2014-04-01 |
| 1447209655 | Select Physical Therapy Holdings Inc | Clinic/Center | 2700 Farmington Ave, Ste C, Farmington, NM 87401-4559 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265073845 | Arnold Physical Therapy & Sports Medicine LLC | Clinic/Center | 9594 Manchester Rd, Saint Louis, MO 63119-1313 | 2019-10-04 |
| 1790326916 | Arnold Physical Therapy & Sports Medicine LLC | Clinic/Center | 11725 Manchester Rd, Des Peres, MO 63131-4616 | 2019-09-30 |
| 1477101376 | Ssm Select Rehab St. Louis, LLC | Clinic/Center | 33 Winfield Plz, Winfield, MO 63389-3451 | 2019-09-04 |
| 1104474006 | Ssm Select Rehab St. Louis, LLC | Clinic/Center | 508 W Veterans Memorial Pkwy, Warrenton, MO 63383-1046 | 2019-09-04 |
| 1497310932 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 201 Highway 34 West, Marble Hill, MO 63764 | 2019-05-09 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1548715402 | Specialty Rehab & Wellness | Clinic/Center | 3309 Crystal Lake Dr, Festus, Festus, MO 63028-4274 | 2016-08-22 |
| 1679947774 | Elite Physical Therapy of Creve Coeur LLC | Clinic/Center | 12788 Olive Blvd, Creve Coeur, MO 63141-6211 | 2015-11-30 |
| 1922414028 | Prorehab, PC | Clinic/Center | 8023 W Florissant Ave Ste A, Jennings, MO 63136-1448 | 2014-07-09 |
| 1831442540 | Invigorate Rehab Inc | Clinic/Center | 1722 Olive St Ste 201, Saint Louis, MO 63103-1700 | 2012-10-18 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
Please comment or provide details below to improve the information on FARMINGTON SPORTS AND REHABILITATION JOINT VENTURE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.