Matthew Standage, | |
755 N 20th St, Ozark, MO 65721-9155 | |
(417) 731-7094 | |
Not Available |
Full Name | Matthew Standage |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 755 N 20th St, Ozark, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093285967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Aegis Group Practice Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558819508 PECOS PAC ID: 5193036432 Enrollment ID: O20161109000544 |
Provider Name | Willard Physical Therapy Center Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1528737780 PECOS PAC ID: 8123417037 Enrollment ID: O20211116000174 |
Mailing Address | Practice Location Address |
---|---|
Matthew Standage, 850 N 25th St, Ozark, MO 65721-8033 Ph: () - | Matthew Standage, 755 N 20th St, Ozark, MO 65721-9155 Ph: (417) 731-7094 |
Katie Gorman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5006 N 22nd St, Ozark, MO 65721 Phone: 417-429-2412 | |
Megan Shook, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1913 N 23rd St, Ozark, MO 65721 Phone: 417-501-5317 | |
Terra Gegg, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1496 W State Highway J, Ozark, MO 65721 Phone: 417-485-5444 | |
Mr. John Ross Ray, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1114 W Jackson St, Ozark, MO 65721 Phone: 417-581-1234 Fax: 888-550-3518 | |
Ms. Crystal Lynn Warren, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1725 S 15th St, Ozark, MO 65721 Phone: 417-730-5500 Fax: 417-730-5505 | |
Dr. Chelsea Nicole Hord, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4208 Rome Ave, Ozark, MO 65721 Phone: 417-834-5990 |