Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Excel Physical Therapy & Sports Medicine Clinic

Organization Physical Therapist · NPI 1609930593

Excel Physical Therapy & Sports Medicine Clinic provides Physical Therapist services in Boonville, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006

Practice location Address checks out

1420 W Ashley Rd
Boonville, MO 65233-2112 Not confirmed with CMS for 18 years — call before visiting
Phone: (660) 882-6115
Fax: (660) 882-6120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 108639 (MO)

Record details

NPI number1609930593
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jill McCormick — Owner · (773) 892-7501
NPI enumeratedDecember 21, 2006
Last updated in NPPESOctober 16, 2007
Mailing address1420 W Ashley Rd, Boonville, MO 65233-2112

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