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

Jerimy Obergoenner, PTA

Individual provider Physical Therapy Assistant · NPI 1396158572

Jerimy Obergoenner, PTA is a Physical Therapy Assistant in Cape Girardeau, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

3047 William St Ste 100
Cape Girardeau, MO 63703-6393
Phone: (573) 339-5989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2014002160 (MO)

Record details

NPI number1396158572
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 5, 2014
Last updated in NPPESJune 5, 2014

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