Unknown Individual – Physical Medicine & Rehabilitation Physician, NPI 1053419291

Unknown Individual is a healthcare provider. based in Joplin, Missouri. specializing in Physical Medicine & Rehabilitation Physician. They hold a License No. R5609 (MO). The NPI Number for Unknown Individual is 1053419291

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053419291
Phone
(417) 347-3634
Address
PO BOX 3810
Deactivation Date
8 February 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Joplin Post Office, 2nd Avenue East, Joplin, Liberty County, Montana, 59531, United States

    JOPLIN, MO 648033810

    Phone: (417) 347-3634

    Type: Mailing

  • 932, East 34th Street, Dennis Acres, Joplin, Newton County, Missouri, 64804, United States

    JOPLIN, MO 648043932

    Phone: (417) 347-3634

    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

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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 64803)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1053419291?
NPI 1053419291 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Joplin?
Public fields place Unknown Individual around Joplin, Missouri. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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