| |
4800 Mexico Rd Ste 104, Saint Peters, MO 63376-1666 | |
(636) 939-9540 | |
(636) 939-9886 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 4800 Mexico Rd Ste 104, Saint Peters, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033178827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Missouri) | Primary |
Provider Name | Jennifer N Rutkowski |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750334488 PECOS PAC ID: 9830183094 Enrollment ID: I20040412000463 |
Provider Name | Sandra Miller |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578573549 PECOS PAC ID: 7113993320 Enrollment ID: I20040909000133 |
Provider Name | Stacey K Batson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043525298 PECOS PAC ID: 8426173212 Enrollment ID: I20100916001109 |
Provider Name | Julia A Kellogg |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679525570 PECOS PAC ID: 9739205741 Enrollment ID: I20100928000518 |
Provider Name | Jessica Fuchs |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437178167 PECOS PAC ID: 1153358262 Enrollment ID: I20151218000148 |
Provider Name | Callie Bauer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194183194 PECOS PAC ID: 7719284074 Enrollment ID: I20160331001052 |
Provider Name | Christine M Lucke |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215166525 PECOS PAC ID: 0345531158 Enrollment ID: I20160627001124 |
Provider Name | Courtney Isbell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760963623 PECOS PAC ID: 8527310523 Enrollment ID: I20181002001968 |
Provider Name | Richard Patrick Kern |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619526001 PECOS PAC ID: 1153756028 Enrollment ID: I20200123000295 |
Provider Name | Mackenzie Lynn Schroeder |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891253704 PECOS PAC ID: 5991110850 Enrollment ID: I20210226002130 |
Provider Name | Margaret Everly Ramirez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457878696 PECOS PAC ID: 5890060602 Enrollment ID: I20211007000959 |
Provider Name | Robert Koeller |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285151423 PECOS PAC ID: 2163826983 Enrollment ID: I20220217000706 |
Provider Name | Lynette Marie Dery |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518206283 PECOS PAC ID: 9537304373 Enrollment ID: I20230630001555 |
Provider Name | Stefanie Shannon |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679053961 PECOS PAC ID: 7113318601 Enrollment ID: I20230810004186 |
Provider Name | Chloe Lyn Miller |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285499483 PECOS PAC ID: 1850735457 Enrollment ID: I20240222002350 |
Provider Name | Will Westerman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114782844 PECOS PAC ID: 0244676427 Enrollment ID: I20240311000905 |
Provider Name | Novalee Patel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548095599 PECOS PAC ID: 0446791420 Enrollment ID: I20240917004672 |
Provider Name | Nickolas Austin Pippert |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699344549 PECOS PAC ID: 3779986989 Enrollment ID: I20240918001962 |
Mailing Address | Practice Location Address |
---|---|
625 Kenmoor Ave Se Ste 100, Grand Rapids, MI 49546-2395 Ph: (163) 565-0000 | 4800 Mexico Rd Ste 104, Saint Peters, MO 63376-1666 Ph: (636) 939-9540 |
Mrs. Prathibha Mannil, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5400 Executive Centre Pkwy, Saint Peters, MO 63376 Phone: 636-922-7600 | |
John Sandman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3899 Veterans Memorial Pkwy, Saint Peters, MO 63376 Phone: 636-922-9933 | |
Lori Marie Freymuth, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4800 Mexico Rd, Suite 104, Saint Peters, MO 63376 Phone: 636-939-9540 Fax: 636-939-9886 | |
Alison N Lawson, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4800 Mexico Rd, Ste 104, Saint Peters, MO 63376 Phone: 636-939-9540 Fax: 636-939-9886 | |
Nicholas Weber, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4800 Mexico Rd, Suite 104, Saint Peters, MO 63376 Phone: 636-939-9540 Fax: 636-939-9886 |