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MISSOURI STATE UNIVERSITY ATHLETIC MEDICAL AND REHABILITATION SERVICES
NPI 1649341272
Clinic/Center in Springfield, MO

Active since November 13, 2006
901 S NATIONAL AVE, SPRINGFIELD, MO 65897(417) 836-5461(417) 836-6101 Get Directions Write a Review

NPPES record last updated: April 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Missouri State University Athletic Medical And Rehabilitation Services NPPES

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

MISSOURI STATE UNIVERSITY ATHLETIC MEDICAL AND REHABILITATION SERVICES (NPI 1649341272), doing business as Missouri State University Athletic Training Services, is a healthcare organization registered as a clinic/center in Springfield, Missouri and active in the NPI registry since November 2006. The organization lists James Thomas Penkalski, Director, as its authorized official.

NPPES Registry Identity

NPI1649341272
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMISSOURI STATE UNIVERSITY ATHLETIC MEDICAL AND REHABILITATION SERVICES
Location Address901 S NATIONAL AVESpringfield, MO 65897-0027
Mailing Address901 S National AveSpringfield, MO 65897-0027 · (417) 836-5461 · Fax (417) 836-6101
Phone(417) 836-5461
Fax(417) 836-6101
Organization SubpartNo
Authorized OfficialJames Thomas PenkalskiDirector · (417) 836-5461
Enumeration DateNovember 13, 2006
Last NPPES UpdateApril 1, 2010
✔ NPI 1649341272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
901 S NATIONAL AVE, Springfield, MO 65897
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Other Names 1

Former Legal Business NameMissouri State University Athletic Training Services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHANA KRISTIN DEL VECCHIO NP
Nurse Practitioner
901 S NATIONAL AVE, TAYLOR HEALTH & WELLNESS CENTER
SPRINGFIELD, MO 65897
Greene County (417) 836-4000
DANA G STONE
Student in an Organized Health Care Education/Training Program
901 S NATIONAL AVE, SCHOOL OF ANESTHESIA
SPRINGFIELD, MO 65897
Greene County (843) 801-2357
JILLIAN RIANNE BURROWS ATC, LAT
Specialist/Technologist (Athletic Trainer)
901 S NATIONAL AVE
SPRINGFIELD, MO 65897
Greene County (417) 836-8445
JULIANN MAKAYLA LEE BURKE
Specialist/Technologist (Athletic Trainer)
901 S NATIONAL AVE
SPRINGFIELD, MO 65897
Greene County (417) 836-5000
DANIELLE MARIE FUHRMAN ATC
Specialist/Technologist (Athletic Trainer)
901 S NATIONAL AVE
SPRINGFIELD, MO 65897
Greene County (417) 836-5461
KELLI MICHELE JONES
Specialist/Technologist (Athletic Trainer)
901 S NATIONAL AVE
SPRINGFIELD, MO 65897
Greene County (636) 290-5558
MRS. KAREN I MILLER ATC, LAT
Specialist/Technologist (Athletic Trainer)
901 S NATIONAL AVE
SPRINGFIELD, MO 65897
Greene County (417) 836-5461
CALLIE JONES
Student in an Organized Health Care Education/Training Program
901 S NATIONAL AVE
SPRINGFIELD, MO 65897
Greene County (417) 836-5000

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 Missouri State University Athletic Medical And Rehabilitation Services's NPI number?

The NPI number for Missouri State University Athletic Medical And Rehabilitation Services is 1649341272. It was assigned to this organization in the NPPES registry on November 13, 2006. The provider was formerly known as Missouri State University Athletic Training Services.

Where is Missouri State University Athletic Medical And Rehabilitation Services located?

Missouri State University Athletic Medical And Rehabilitation Services is located at 901 S National Ave, Springfield, MO 65897. The listed phone number is (417) 836-5461.

What is Missouri State University Athletic Medical And Rehabilitation Services's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Missouri State University Athletic Medical And Rehabilitation Services was last updated on April 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.