Mr Matthew Austin Green, MPT | |
1011 Bowles Ave Ste 150, Fenton, MO 63026-2384 | |
(636) 343-9555 | |
(636) 343-9556 |
Full Name | Mr Matthew Austin Green |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1011 Bowles Ave Ste 150, Fenton, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245951649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2004004898 (Missouri) | Primary |
Provider Name | Agilitas Usa Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20151021002796 |
Mailing Address | Practice Location Address |
---|---|
Mr Matthew Austin Green, MPT 2636 Accomac St, Saint Louis, MO 63104-2218 Ph: (314) 607-7817 | Mr Matthew Austin Green, MPT 1011 Bowles Ave Ste 150, Fenton, MO 63026-2384 Ph: (636) 343-9555 |
Shelbi Ann Nelson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1011 Bowles Ave Ste 150, Fenton, MO 63026 Phone: 636-343-9555 | |
Mrs. Jennifer Noble Smith, MSPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1011 Bowles Ave, Suite 150, Fenton, MO 63026 Phone: 636-343-9555 Fax: 636-343-9556 | |
Peggy Buechler, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Arbor Ter, Fenton, MO 63026 Phone: 636-343-0016 | |
St. Louis Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2558 Gladiator Dr, Fenton, MO 63026 Phone: 636-861-6969 | |
Mrs. Julie M. Parker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 37 Copper Mountain Ct, Fenton, MO 63026 Phone: 636-343-3537 Fax: 636-343-3537 | |
James Grainger, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 784 Gravois Bluffs Blvd, Fenton, MO 63026 Phone: 636-349-8060 | |
Dr. Morgan Ashley Biondo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 128 Matrix Commons Dr, Fenton, MO 63026 Phone: 636-349-6850 Fax: 636-349-6641 |