MEDICARE: THERAPY SUPPORT INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	332BC3200X	Customized Equipment (DME)
3	332BX2000X	Oxygen Equipment & Supplies (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	160813	OTHER	MO	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	156142	OTHER	OH	ANTHEM
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417904814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPY SUPPORT INC

Provider Business Mailing Address
First Line	:	2803 N OAK GROVE AVE
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65803-4976
Country	:	US
Telephone Number	:	417-887-5873
Fax Number	:	417-380-5205

Provider Business Practice Location Address
First Line	:	2803 N OAK GROVE AVE
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65803-4976
Country	:	US
Telephone Number	:	417-887-5873
Fax Number	:	417-380-5205

Authorized Official
Title or Position	:	3M DIRECTOR
Name	:	MRS. RUSCELL D PAVLIN
Credential	:
Telephone Number	:	417-380-5105

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	08/24/2016

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1003771783 — NORTHWIND COUNSELING LLC
Practice Location Address:

2032 E KEARNEY ST STE 113
SPRINGFIELD, MO
65803-4663

Practice Phone: 218-360-5737
Practice Fax:

1922430065 — LATOYA M. COMPTON FNP
Practice Location Address:

1540 E EVERGREEN ST
SPRINGFIELD, MO
65803-4300

Practice Phone: 417-823-2900
Practice Fax:

1851022255 — OYETUNJI A OYEDEJI MSN, FPMHNP
Practice Location Address:

1540 E EVERGREEN ST
SPRINGFIELD, MO
65803-4300

Practice Phone: 417-823-2900
Practice Fax:

1245886241 — STACI R WICKERSHAM MSW, LCSW
Practice Location Address:

1540 E EVERGREEN ST
SPRINGFIELD, MO
65803-4300

Practice Phone: 417-823-2900
Practice Fax: 417-823-2981

1558366724 — DR. JAMES L GODARD DO
Practice Location Address:

1540 E EVERGREEN ST
SPRINGFIELD, MO
65803-4300

Practice Phone: 417-823-2900
Practice Fax: 417-886-2774

Directions to “THERAPY SUPPORT INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.