| |
14450 S Outer 40 Rd, Chesterfield, MO 63017-5711 | |
(314) 434-6060 | |
(314) 434-6066 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 14450 S Outer 40 Rd, Chesterfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700215803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Ryan J Johnson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659669406 PECOS PAC ID: 8022289370 Enrollment ID: I20110919000554 |
Provider Name | Anthony Wear |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255685996 PECOS PAC ID: 2466604152 Enrollment ID: I20121203000369 |
Provider Name | Brent Robert Simmons |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1609131218 PECOS PAC ID: 8527292010 Enrollment ID: I20131017000097 |
Provider Name | Stephanie N Boyd |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790239358 PECOS PAC ID: 7012202351 Enrollment ID: I20160825000413 |
Provider Name | Adrienne N Ebersole |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750909784 PECOS PAC ID: 1254755838 Enrollment ID: I20200716001272 |
Provider Name | Joshua R Tonozzi |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689282402 PECOS PAC ID: 7517381247 Enrollment ID: I20200728000727 |
Provider Name | Courtney B Conlin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619630829 PECOS PAC ID: 6507254463 Enrollment ID: I20211026000755 |
Provider Name | Elizabeth D Natho |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700584786 PECOS PAC ID: 7911371927 Enrollment ID: I20230314002226 |
Provider Name | Ryan D Ward |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356188304 PECOS PAC ID: 7517404189 Enrollment ID: I20240731002451 |
Provider Name | Joshua Y Lai |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700551538 PECOS PAC ID: 2466858543 Enrollment ID: I20240808002172 |
Mailing Address | Practice Location Address |
---|---|
14450 S Outer 40 Rd, Chesterfield, MO 63017-5711 Ph: (314) 434-6060 | 14450 S Outer 40 Rd, Chesterfield, MO 63017-5711 Ph: (314) 434-6060 |
Nicholas Louis Hennicke, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1880 Clarkson Rd, Chesterfield, MO 63017 Phone: 636-536-3800 | |
Midwest Physical Rehab, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 14821 Clayton Rd, Chesterfield, MO 63017 Phone: 636-227-0559 Fax: 636-227-0232 | |
Mrs. Jacqueline Ann Mcmanus, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1025 Chesterfield Pointe Pkwy, Chesterfield, MO 63017 Phone: 636-489-4116 | |
Elizabeth Beckner, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1585 Woodlake Dr, Suite 214, Chesterfield, MO 63017 Phone: 314-205-8858 Fax: 314-205-2113 | |
Athletico Ltd Physical Therapist Medicare: Medicare Enrolled Practice Location: 14825 N Outer 40 Rd Ste 300, Chesterfield, MO 63017 Phone: 636-812-1211 Fax: 636-812-0159 | |
Manual Therapy Specialists, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17300 N Outer 40, Suite 205, Chesterfield, MO 63005 Phone: 636-728-1777 Fax: 636-728-1793 |