MISSOURI STATE UNIVERSITY PT CLINIC – Physical Therapy Clinic/Center, NPI 1003904079

MISSOURI STATE UNIVERSITY PT CLINIC is a healthcare provider. based in Springfield, Missouri. specializing in Physical Therapy Clinic/Center. The NPI Number for MISSOURI STATE UNIVERSITY PT CLINIC is 1003904079

Main info

Organization
Name
MISSOURI STATE UNIVERSITY PT CLINIC
NPI
1003904079
Phone
(417) 836-3070
Address
901 S NATIONAL AVE
Authorized Official
MICHAEL VERE HALLIDAY CLINIC DIRECTOR PT
Enumeration Date
11 October 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for MISSOURI STATE UNIVERSITY PT CLINIC

  • Missouri State University, 901, South National Avenue, Phelps Grove/University Heights, Springfield, Greene County, Missouri, 65807, United States

    SPRINGFIELD, MO 658970027

    Phone: (417) 836-3070

    Type: Mailing

  • Cherry Street, The X, Six Corners, McKnight, Springfield, Hampden County, Massachusetts, 01105, United States

    ROOM 100

    SPRINGFIELD, MO 658063401

    Phone: (417) 836-3070

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65897)

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Reviews

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Frequently asked questions

Can I cross-check MISSOURI STATE UNIVERSITY PT CLINIC using NPI 1003904079?
NPI 1003904079 belongs to MISSOURI STATE UNIVERSITY PT CLINIC; compare other details if you need extra assurance.
Is MISSOURI STATE UNIVERSITY PT CLINIC shown as active in public data?
Registry records indicate MISSOURI STATE UNIVERSITY PT CLINIC maintains an active NPI.
What clinical focus is listed for MISSOURI STATE UNIVERSITY PT CLINIC?
At a glance, MISSOURI STATE UNIVERSITY PT CLINIC is tied to Physical Therapy Clinic/Center. Clinical services aligned with this taxonomy classification.
Is MISSOURI STATE UNIVERSITY PT CLINIC associated with Springfield?
Public fields place MISSOURI STATE UNIVERSITY PT CLINIC around Springfield, Missouri. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MISSOURI STATE UNIVERSITY PT CLINIC is noted as October 11, 2006 where the registry provides it.

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