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 ID1942272836Provider TypeOrganizationFull NameOzark Physical Therapy, LlpSubpartNoEnumeration Date2/3/2006Last Updated2/13/2017Contact 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 (Partner)Phone(573) 686-4209Provider TaxonomiesCodeDescriptionLicenseCode332B00000XPrimaryDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID146356DescriptionOtherIssuerBLUE CROSS BLUE SHIELDMissouriID4630980001DescriptionOtherIssuerDME NUMBERMissouri