CAPITAL REGION MEDICAL CENTER
NPI 1215057542
Physical Therapist - Cardiopulmonary in Jefferson City, MO
- Organization
- Physical Therapist
- Cardiopulmonary
About CAPITAL REGION MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Capital Region Medical Center, a provider established in Jefferson City, Missouri operating as a Physical Therapist, focusing in cardiopulmonary . The healthcare provider is registered in the NPI registry with number 1215057542 assigned on March 2007. The practitioner's primary taxonomy code is 2251C2600X with license number 2005010777 (MO). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Ed Farnsworth Md (Preseident)
- NPI
- 1215057542 Verify this NPI
- Provider Name
- CAPITAL REGION MEDICAL CENTER
- Entity Type
- Organization
- Location Address
- 1015 MOREAU DR JEFFERSON CITY, MO 65101
- Location Phone
- (573) 634-2570
- Mailing Address
- 1125 MADISON ST JEFFERSON CITY, MO 65101
- Mailing Phone
- (573) 632-5000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-30-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Cardiopulmonary
- Taxonomy Code
- 2251C2600X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 2005010777
- License State
- MO
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215057542, enumerated as an "organization" on March 30, 2007.
The provider is located at 1015 MOREAU DR JEFFERSON CITY, MO 65101 and the phone number is (573) 634-2570.
Physical Therapist with taxonomy code 2251C2600X and a focus in Cardiopulmonary.
