Haven Physical Therapy

LBN: Haven Physical Therapy
Haven Physical Therapy is an health care organization with primary practice located at 1114 W Jackson St , Ozark MO 65721-9164. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Haven Physical Therapy can be contacted via phone (417) 581-1234, or through Ray, John via phone (417) 581-1234.

Contact Information

Primary practice address
1114 W Jackson St Ozark MO 65721-9164
Phone: (417) 581-1234
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ray, John Physical Therapist (PT)
Phone: (417) 581-1234

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X RO570 Missouri

Profile Details

NPI number 1407396393
LBN Legal business name Haven Physical Therapy
DBA Doing business as
Authorized official Ray, John Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2017
Last updated Aug 1st, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407396393 NPPES
Missouri MEDICAID 1740586940

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