MEDICARE: PHYSICAL THERAPY SPECIALIST CLINIC, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	005362	MO
2	225100000X	Physical Therapist	01442	MO
3	225100000X	Physical Therapist	107429	MO
4	225200000X	Physical Therapy Assistant	2006029256	MO
5	225200000X	Physical Therapy Assistant	116745	MO
6	225200000X	Physical Therapy Assistant	2001031039	MO
7	2255A2300X	Athletic Trainer	107041	MO
8	2255A2300X	Athletic Trainer	118541	MO
9	2255A2300X	Athletic Trainer	109647	MO
10	2255A2300X	Athletic Trainer	114070	MO
11	225X00000X	Occupational Therapist	2003019075	MO
12	225X00000X	Occupational Therapist	2001033005	MO
13	235Z00000X	Speech-Language Pathologist	2006020966	MO
14	235Z00000X	Speech-Language Pathologist	115072	MO
15	225100000X	Physical Therapist	2003016144	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	31277	OTHER	MO	BC/BS OF MO
2	497721142SHE	OTHER	MO	PREMIER
3	792288	OTHER	MO	FIRST HEALTH
4	336556	OTHER	MO	HEALTHLINK
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	973358	OTHER	MO	UNITED HEALTH CARE

General Provider Information

NPI Number	:	1659312619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICAL THERAPY SPECIALIST CLINIC, INC.

Provider Business Mailing Address
First Line	:	1480 W 8TH ST
Second Line	:
City	:	WEST PLAINS
State	:	MO
Zip	:	65775-2010
Country	:	US
Telephone Number	:	417-256-5669
Fax Number	:	417-256-5699

Provider Business Practice Location Address
First Line	:	1480 W 8TH ST
Second Line	:
City	:	WEST PLAINS
State	:	MO
Zip	:	65775-2010
Country	:	US
Telephone Number	:	417-256-5669
Fax Number	:	417-256-5699

Authorized Official
Title or Position	:	CEO
Name	:	MARY HELEN SHEID
Credential	:	PT, OCS
Telephone Number	:	417-256-5669

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	09/26/2013

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1497713127 — VINCENT LEE BEAM A.T.,C.
Practice Location Address:

1480 W 8TH ST
WEST PLAINS, MO
65775-2010

Practice Phone: 417-256-5669
Practice Fax: 417-256-5699

1194761650 — MRS. MARY H SCHRAG PT, OCS
Practice Location Address:

1480 W 8TH ST
WEST PLAINS, MO
65775-2010

Practice Phone: 417-256-5669
Practice Fax: 417-256-5699

1821025693 — MRS. SHELLEY DAWN HOLLIS PT
Practice Location Address:

1480 W 8TH ST
WEST PLAINS, MO
65775-2010

Practice Phone: 417-256-5669
Practice Fax: 417-256-5699

1073540845 — AMBER GIANINA BALDWIN L.M.T.
Practice Location Address:

1480 W 8TH ST
WEST PLAINS, MO
65775-2010

Practice Phone: 417-256-5669
Practice Fax:

1932132875 — MRS. TAMMERA J BARKS
Practice Location Address:

1480 8TH ST
WEST PLAINS, MO
65775-2010

Practice Phone: 417-256-5669
Practice Fax: 417-256-5699

Directions to “PHYSICAL THERAPY SPECIALIST CLINIC, 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.