Kelli Richardson, DPT | |
2840 Clark Ave, Saint Louis, MO 63103-2506 | |
(314) 970-2466 | |
(314) 949-2523 |
Full Name | Kelli Richardson |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2840 Clark Ave, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871806398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070.028221 (Illinois) | Secondary |
225100000X | Physical Therapist | 2010021791 (Missouri) | Primary |
Provider Name | Missouri Luna Care Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780265934 PECOS PAC ID: 1355750746 Enrollment ID: O20210517000174 |
Provider Name | Specialized Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1386416048 PECOS PAC ID: 5294188116 Enrollment ID: O20240126003558 |
Mailing Address | Practice Location Address |
---|---|
Kelli Richardson, DPT 2840 Clark Ave, Saint Louis, MO 63103-2506 Ph: (314) 970-2466 | Kelli Richardson, DPT 2840 Clark Ave, Saint Louis, MO 63103-2506 Ph: (314) 970-2466 |
Brittany Marie Burchett, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3625 Magnolia Ave, Saint Louis, MO 63110 Phone: 314-771-2990 | |
Ms. Martha J Rubinelli, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7733 Forsyth Blvd, Suite 1700, Saint Louis, MO 63105 Phone: 314-863-7422 | |
Hilde Anne Maagad, Physical Therapist Medicare: Medicare Enrolled Practice Location: 5460 Delmar Blvd, Saint Louis, MO 63112 Phone: 314-361-2908 | |
Dr. Lexi Kathleen Wisch, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 401 Holly Hills Ave, Saint Louis, MO 63111 Phone: 314-353-5190 Fax: 314-353-7631 | |
Dr. Danielle Buchanan Ivie, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4444 Forest Park Ave, Ste 1210, Saint Louis, MO 63108 Phone: 314-286-1940 Fax: 314-286-1473 | |
Rehab Dynamics, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10435 Clayton Rd, Suite 10, Saint Louis, MO 63131 Phone: 314-442-6249 Fax: 314-787-5949 | |
Juliet Hereford, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7508 Big Bend Blvd, Saint Louis, MO 63119 Phone: 314-647-4880 Fax: 314-647-1964 |