CAPITAL REGION MEDICAL CENTER
NPI 1215057542
Physical Therapist - Cardiopulmonary in Jefferson City, MO

Active since March 30, 2007
1015 MOREAU DR, JEFFERSON CITY, MO 65101(573) 634-2570 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Capital Region Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAPITAL REGION MEDICAL CENTER (NPI 1215057542) is a healthcare organization registered as a cardiopulmonary in Jefferson City, Missouri and active in the NPI registry since March 2007. The organization lists Ed Farnsworth, Preseident, as its authorized official.

NPPES Registry Identity

NPI1215057542
Entity TypeOrganization
Primary Taxonomy2251C2600X
Legal Business NameCAPITAL REGION MEDICAL CENTER
Location Address1015 MOREAU DRJefferson City, MO 65101-3518
Mailing Address1125 Madison StJefferson City, MO 65101-5227 · (573) 632-5000
Organization SubpartNo
Authorized OfficialEd FarnsworthPreseident · (573) 632-5000
Enumeration DateMarch 30, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1215057542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · CardiopulmonaryRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251C2600X
License Licensed in MO · 2005010777
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Cardiovascular & Pulmonary Physical Therapy, who has demonstrated specialized knowledge and skill in cardiovascular and pulmonary anatomy and physiology medicine, rehabilitation, critical care, and emergency and trauma.
1015 MOREAU DR, Jefferson City, MO 65101

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Capital Region Medical Center's NPI number?

The NPI number for Capital Region Medical Center is 1215057542. It was assigned to this organization in the NPPES registry on March 30, 2007.

Where is Capital Region Medical Center located?

Capital Region Medical Center is located at 1015 Moreau Dr, Jefferson City, MO 65101. The listed phone number is (573) 634-2570.

What is Capital Region Medical Center's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Cardiopulmonary, with taxonomy code 2251C2600X.

When was this NPI record last updated?

The NPPES record for Capital Region Medical Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.