CHARLOTTE MARIE FRAZIER (NPI# 1568626885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568626885 |
| Entity Type | Individual |
| Full Name | CHARLOTTE MARIE FRAZIER |
| Other Name | CHARLOTTE MARIE BEAUCHAMP |
| Credential | MPT |
| Practice Address |
1100 N Kentucky Ave West Plains MO 65775-2029 |
| Mailing Address |
Po Box 1100 West Plains MO 65775-1100 |
| Practice Telephone | 4172575959 |
| Mailing Telephone | 4172575959 |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2017-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT010079 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT010079 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
2008019279 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1100 N KENTUCKY AVE |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700881851 | Visionary Imaging LLC | Radiology | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2005-06-16 |
| 1316559636 | Chandra Steed | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2020-08-18 |
| 1144849845 | Danielle M Gregory | Physical Therapy Assistant | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2020-04-13 |
| 1447887708 | Cassidy Jones | Occupational Therapist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2020-03-26 |
| 1710517727 | Patrick Lynn Peck | Counselor | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2020-01-17 |
| 1699334649 | John Robert Piatt | Physician Assistant | 1100 N Kentucky Ave, West Plains, MO 65775 | 2019-06-12 |
| 1346723210 | Sarah Barnhill | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2018-09-07 |
| 1306324322 | Bradyn Alexis Sharp | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2018-08-01 |
| 1386120558 | Brittany Walsh | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2018-07-11 |
| 1265928527 | Lindsey Nicole Butz | Physical Therapist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053536342 | Deanna J Miller | Physical Therapist | 9068 Private Road 6421, West Plains, MO 65775-6693 | 2007-04-13 |
| 1861659385 | Bethany Jane Underwood | Physical Therapist | 1111 N Kentucky Ave, West Plains, MO 65775-2028 | 2008-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154951176 | Mighty Kids Pediatric Therapy | Physical Therapist | 829 Hwy 150, Lee's Summit, MO 64082-6408 | 2020-01-17 |
| 1609330372 | Kids Care Pediatric Therapies | Physical Therapist | 1948 S Glenstone Ave Ste 104, Springfield, MO 65804-2305 | 2019-01-28 |
| 1891249009 | Katherine Norrick | Physical Therapist | 1302 Beulah Dr, Festus, MO 63028-1039 | 2016-08-05 |
| 1003275918 | Christine Scheman | Physical Therapist | 4441 Chouteau Ave., Apt. 3316, St. Louis, MO 63110 | 2016-02-19 |
| 1275914905 | Alexandra Mazur | Physical Therapist | 5540 Shaw Ave, Saint Louis, MO 63110-2730 | 2015-06-18 |
| 1437410172 | Jennifer Ann Belden | Physical Therapist | 12215 Roger Ln, Saint Louis, MO 63131-4321 | 2012-05-30 |
| 1336426386 | Kesia Danner-bowman | Physical Therapist | 2898 S Eldon Ave, Springfield, MO 65807-5532 | 2011-11-04 |
| 1215227954 | Bethany Diane Adler | Physical Therapist | 1005 Yellowstone St, Nixa, MO 65714-8671 | 2011-04-14 |
| 1891962452 | Tiffany Lyn Mussman | Physical Therapist | 10015 N Ambassador Dr Ste 104, Kansas City, MO 64153-1437 | 2008-05-13 |
| 1104092147 | Melissa Joan Turner | Physical Therapist | 22103 S Walnut Bluff Rd, Pleasant Hill, MO 64080-9399 | 2008-04-30 |
| Find all providers with the same taxonomy | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
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| 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.