Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Excel Physical Therapy & Sports Medicine Clinic

Physical Therapist in Boonville, MO · enumerated 2006 · authorized official Jill Mccormick, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609930593

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Registry record

Entity type Organization (Type 2)

Legal business name Excel Physical Therapy & Sports Medicine Clinic

Practice address 1420 W Ashley Rd, Boonville, MO, 65233

Phone (660) 882-6115

Fax (660) 882-6120

Enumeration date Dec 21, 2006

Last updated in NPPES Oct 16, 2007

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 108639 (MO) Primary

Authorized official

Name Jill Mccormick

Title Owner

Phone (773) 892-7501

Other identifiers

Identifier	Type	State	Issuer
122566	Other	-	BLUE CROSS BLUE SHEILD
DA1611	Other	MO	MEDICARE RAILROAD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-10-16. Verify at npiregistry.cms.hhs.gov.

Where is Excel Physical Therapy & Sports Medicine Clinic located?

The practice location on file with NPPES is in Boonville, MO.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-16.