Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Antonio Mauricio Jr., PT

Individual provider Physical Therapist · NPI 1992279830

Antonio Mauricio Jr., PT is a Physical Therapist in Private Practice in Poplar Bluff, Missouri. Qualified in 1987, 39 years ago. Practices with Tinsley Home Medical Services LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
39
Licensed in
MO
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3999 Highway Pp
Poplar Bluff, MO 63901-9046
Phone: (573) 712-2280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence R1007 (MO)

Record details

NPI number1992279830
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 14, 2019
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Tinsley Home Medical Services Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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