Shawn K Everson, MHS, PT, OCS, MTC | |
763 S New Ballas Rd, 200, Saint Louis, MO 63141-8704 | |
(314) 991-2562 | |
Not Available |
Full Name | Shawn K Everson |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 39 Years |
Location | 763 S New Ballas Rd, Saint Louis, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598986002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 01532 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Missouri Physical Therapy Llc | 6901870187 | 19 |
Provider Name | Central Missouri Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1558436592 PECOS PAC ID: 6901870187 Enrollment ID: O20150915001876 |
Mailing Address | Practice Location Address |
---|---|
Shawn K Everson, MHS, PT, OCS, MTC 763 S New Ballas Rd, 200, Saint Louis, MO 63141-8704 Ph: (314) 991-2562 | Shawn K Everson, MHS, PT, OCS, MTC 763 S New Ballas Rd, 200, Saint Louis, MO 63141-8704 Ph: (314) 991-2562 |
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