| Amanda Theresa Vaicikauskas, | |
|
12349 Depaul Drive, Suite 110, Bridgeton, MO 63044 | |
| (314) 209-7700 | |
| Not Available |
| Full Name | Amanda Theresa Vaicikauskas |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 12349 Depaul Drive, Bridgeton, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689200727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 0000006593 (Tennessee) | Secondary |
| 225X00000X | Occupational Therapist | 2020006487 (Missouri) | Primary |
| Provider Name | Independent Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104878354 PECOS PAC ID: 9335056308 Enrollment ID: O20040928000202 |
| Provider Name | Select Physical Therapy Holdings Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1619939766 PECOS PAC ID: 9537076401 Enrollment ID: O20160912002365 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Theresa Vaicikauskas, 12349 Depaul Drive, Suite 110, Bridgeton, MO 63044 Ph: (314) 209-7700 | Amanda Theresa Vaicikauskas, 12349 Depaul Drive, Suite 110, Bridgeton, MO 63044 Ph: (314) 209-7700 |
Sarah Funk, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12380 De Paul Dr, Bridgeton, MO 63044 Phone: 314-447-9710 | |
Donna Wong Rickards, MS,OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12145 Bridgeton Sq, Bridgeton, MO 63044 Phone: 207-650-4340 | |
Samantha Louise Witte, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12380 De Paul Dr, Bridgeton, MO 63044 Phone: 314-447-9710 | |
Amanda Shulman, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12380 Depaul Drive, Bridgeton, MO 63044 Phone: 314-447-9710 Fax: 314-447-9711 | |
Morgan Ashleigh Gumper, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Mrs. Marcy Kay Baker, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-6460 | |
Jessica Neff, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-6000 |