Excel Sports & Physical Therapy | |
4800 Mexico Rd Ste 104, Saint Peters, MO 63376-1666 | |
(636) 939-9540 | |
(636) 939-9886 |
Full Name | Excel Sports & Physical Therapy |
---|---|
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 | Charles Mcdonnell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427002476 PECOS PAC ID: 6608073465 Enrollment ID: I20101005000144 |
Provider Name | Jennifer Nicole Rispoli |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275870750 PECOS PAC ID: 7911142484 Enrollment ID: I20130404000256 |
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 | Courtney Isbell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760963623 PECOS PAC ID: 8527310523 Enrollment ID: I20181002001968 |
Provider Name | Roberta Martin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528524121 PECOS PAC ID: 3274873419 Enrollment ID: I20190325002622 |
Provider Name | Jenna M Aldridge |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669028460 PECOS PAC ID: 7113256074 Enrollment ID: I20190903001465 |
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 | Salvatore Sesti |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679170930 PECOS PAC ID: 2567882806 Enrollment ID: I20201026002001 |
Provider Name | Ellen Gray |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598357402 PECOS PAC ID: 1052726908 Enrollment ID: I20210226001631 |
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 | Daniel Crenshaw |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467020032 PECOS PAC ID: 7113327131 Enrollment ID: I20210614001451 |
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 | Zoe B Munie |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427630797 PECOS PAC ID: 7315335270 Enrollment ID: I20211026000765 |
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 | Shikha Sharma |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770953952 PECOS PAC ID: 6305254293 Enrollment ID: I20220624000137 |
Provider Name | Morgan Ashley O'brien |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821580846 PECOS PAC ID: 9830446483 Enrollment ID: I20220802000899 |
Provider Name | Hayden Lawrence Moore |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386382497 PECOS PAC ID: 8921480070 Enrollment ID: I20220805000677 |
Provider Name | Neha Sanjay Kotkar |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134865058 PECOS PAC ID: 7618351560 Enrollment ID: I20220826001889 |
Provider Name | Jennifer Whelan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063133809 PECOS PAC ID: 1951787639 Enrollment ID: I20221004000863 |
Provider Name | Samantha Ryan Mackey |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518569904 PECOS PAC ID: 7618345646 Enrollment ID: I20221123001575 |
Provider Name | Alysa Janke |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750066833 PECOS PAC ID: 6901264829 Enrollment ID: I20230623002724 |
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 Vacca |
---|---|
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 |
Mailing Address | Practice Location Address |
---|---|
Excel Sports & Physical Therapy 625 Kenmoor Ave Se Ste 100, Grand Rapids, MI 49546-2395 Ph: (163) 565-0000 | Excel Sports & Physical Therapy 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 | |
St. Louis Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4075 N Saint Peters Pkwy, Saint Peters, MO 63304 Phone: 636-728-1777 | |
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 |