OrganizationOzark Physical Therapy LlpDurable Medical Equipment & Medical SuppliesSuppliersPractice Address2725 N Westwood Blvd, Suite 17, Poplar Bluff, MO 63901-2346(573) 686-5510PECOS EnrollmentBased on the most recent information from CMS, provider Ozark Physical Therapy Llp does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1619139227Provider TypeOrganizationFull NameOzark Physical Therapy LlpSubpartNoEnumeration Date6/26/2008Last Updated1/28/2014Contact InformationPractice LocationPractice Address2725 N Westwood Blvd, Suite 17, Poplar Bluff, MO 63901-2346Phone(573) 686-5510Fax(573) 686-6846Mailing LocationMailing Address2725 N Westwood Blvd, Suite 17, Poplar Bluff, MO 63901-2346Phone(573) 686-5510Fax(573) 686-6846Authorized OfficialNameTinsley, Austin R (Owner)Phone(573) 686-4209Provider TaxonomiesCodeDescriptionLicenseCode332B00000XPrimaryDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerCode320900000XDescriptionCommunity Based Residential Treatment Facility, Mental Retardation and/or Developmental DisabilitiesResidential Treatment FacilitiesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID626235204DescriptionMedicaidIssuerUnlistedMissouri