Organization
SPRINGFIELD PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY T JOHNSON PT (OWNER MEMBER PHYSICAL THERAPIST)
(417) 888-0808
Entity
Organization
Contact information
Practice address
929 E MONTCLAIR, SUITE 104, SPRINGFIELD, MO 65807
(417) 888-0808
(417) 888-0811
Mailing address
929 E MONTCLAIR, SUITE 104, SPRINGFIELD, MO 65807
(417) 888-0808
(417) 888-0811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R1012
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169735
BCBS
MO
01
—
DC9496
RAILROAD MEDICARE
MO
Enumeration date
05/08/2006
Last updated
12/12/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up