Mrs Amanda Long, PT, DPT | |
5200 Executive Centre Pkwy Ste 200, Saint Peters, MO 63376-3394 | |
(636) 255-8750 | |
(636) 244-1172 |
Full Name | Mrs Amanda Long |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 5 Years |
Location | 5200 Executive Centre Pkwy Ste 200, Saint Peters, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710545777 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 9707 (South Carolina) | Secondary |
225100000X | Physical Therapist | 2021014458 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Axes Physical Therapy Llc | 3375840028 | 77 |
Provider Name | Axes Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1003280421 PECOS PAC ID: 3375840028 Enrollment ID: O20160324001215 |
Provider Name | Axes Physical Therapy I, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1679032700 PECOS PAC ID: 9335481688 Enrollment ID: O20190507001063 |
Mailing Address | Practice Location Address |
---|---|
Mrs Amanda Long, PT, DPT 647 Spirit Airpark West Dr Ste 101, Chesterfield, MO 63005-1032 Ph: (636) 206-4225 | Mrs Amanda Long, PT, DPT 5200 Executive Centre Pkwy Ste 200, Saint Peters, MO 63376-3394 Ph: (636) 255-8750 |
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 | |
Excel Sports & Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 4800 Mexico Rd Ste 104, Saint Peters, MO 63376 Phone: 636-939-9540 Fax: 636-939-9886 | |
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 |