TAWANA SPANN PHYSICAL THERAPY LLC (NPI# 1053781468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053781468 |
| Entity Type | Organization |
| Organization Name | TAWANA SPANN PHYSICAL THERAPY LLC |
| Other Organization Name | FYZICAL THERAPY AND BALANCE |
| Practice Address |
950 Francis Pl Ste 205 Saint Louis MO 63105-2465 |
| Practice Telephone | 3146271777 |
| Practice Fax Number | 3146275747 |
| Mailing Telephone | 3146271777 |
| Mailing Fax Number | 3146275747 |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |
| Authorized Official Name | MS. TAWANA SPANN (PRESIDENT) |
| Authorized Official Telephone | 3143634078 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
112062 | MO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FYZICAL THERAPY AND BALANCE | Doing Business As Name - Organization |
| Street Address |
950 FRANCIS PL STE 205 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63105-2465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922005834 | Walter David Kistler Jr. | Internal Medicine | 950 Francis Pl, S-113, Saint Louis, MO 63105-2465 | 2005-07-07 |
| 1790173466 | James W. Rehm Dmd, LLC | Dentist | 950 Francis Pl, Suite 306, Saint Louis, MO 63105-2465 | 2015-01-05 |
| 1013305804 | W David Kistler Jr Md LLC | Internal Medicine | 950 Francis Pl, Ste 113, Saint Louis, MO 63105-2465 | 2014-12-31 |
| 1639510027 | Sean Michael Thoms | Dentist | 950 Francis Pl, Suite 305, Saint Louis, MO 63105-2465 | 2013-07-12 |
| 1194168112 | Zora S. Hanko | Dentist | 950 Francis Pl, Suite 206, Saint Louis, MO 63105-2465 | 2013-04-09 |
| 1306183223 | Physical Therapy Specialists In Neurology and Orthopedics PC | Clinic/Center | 950 Francis Pl, Suite 15, Saint Louis, MO 63105-2465 | 2013-01-11 |
| 1740400779 | Physical and Sports Therapy Services of St Louis | Clinic/Center | 950 Francis Pl, Suite 15, Saint Louis, MO 63105-2465 | 2007-05-01 |
| 1598982696 | Janet A. Tenhula | Physical Therapist | 950 Francis Pl, Suite 15, Saint Louis, MO 63105-2465 | 2007-04-19 |
| 1205052305 | Christopher M Chase | Physical Therapist | 950 Francis Pl, Suite 15, Saint Louis, MO 63105-2465 | 2007-04-17 |
| 1902020076 | Dan O. Kelley | Physical Therapist | 950 Francis Pl, Suite 15, Saint Louis, MO 63105-2465 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016545 | Amy Piontek | Registered Nurse | Habif Health and Wellness Center, 6643 Shepley Drive, St. Louis, MO 63105 | 2020-05-29 |
| 1427520634 | Justin Kelly | Chiropractor | 8011 Maryland Avenue, St. Louis, MO 63105 | 2018-12-28 |
| 1720576663 | St. Louis Center for Cognitive Health, LLC | Clinic/Center | 7711 Bonhomme Ave Ste 350, Clayton, MO 63105 | 2018-04-26 |
| 1457849317 | A Storied Life Counseling LLC | Social Worker | 8000 Bonhomme Ave Ste 321, Clayton, MO 63105 | 2018-04-26 |
| 1669984142 | Peter Bogart | Counselor | 7710 Carondelet, Suite #204, Saint Louis, MO 63105 | 2017-10-24 |
| 1356891162 | Medical West Respiratory Pharmacy, LLC | Pharmacy | 440 South Brentwood Blvd, Clayton, MO 63105 | 2016-10-05 |
| 1710435565 | James Breihan | Occupational Therapist | 401 Corporate Park Drive, Clayton, MO 63105 | 2016-09-21 |
| 1730566928 | Frank Theus | Counselor | 7710 Carondelet Ave Ste 220, Saint Louis, MO 63105 | 2015-04-27 |
| 1962895896 | John B Martin | Obstetrics & Gynecology | 312 N. Meramec #300, St. Louis, MO 63105 | 2015-03-17 |
| 1861814261 | Jesse Marie Civello | Physical Therapist | 222 S Meramec Avenue, Suite 100, Clayton, MO 63105 | 2014-01-20 |
| Find all providers in zip 63105 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053820175 | Prorehab PC | Clinic/Center | 11525 Olde Cabin Rd Ste 1, Saint Louis, MO 63141-7146 | 2017-09-20 |
| 1811447840 | Crystal Cunetto | Clinic/Center | 1114 Ridgelynn Dr, Saint Louis, MO 63124-1220 | 2016-10-13 |
| 1720429558 | Missouri Physical Therapy LLC | Clinic/Center | 9751 Clayton Rd, Saint Louis, MO 63124-1503 | 2013-07-09 |
| 1205067857 | Therapeutic Innovations Lc | Clinic/Center | 563 Cliff Cave Rd, Saint Louis, MO 63129-4415 | 2009-07-30 |
| 1639200074 | Occupational Health Centers of Kansas Pa | Clinic/Center | 1617 S 3rd St, Saint Louis, MO 63104-3839 | 2007-03-08 |
| 1629109087 | Occupational Health Centers of Kansas Pa | Clinic/Center | 8340 N Broadway, Saint Louis, MO 63147-2333 | 2007-03-08 |
| 1194778183 | Prorehab, PC | Clinic/Center | 3726 S Kingshighway Blvd, Saint Louis, MO 63109-1800 | 2006-05-18 |
| 1124071238 | Prorehab, PC | Clinic/Center | 107 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307 | 2006-05-18 |
| 1336122266 | Brentwood Physical Therapy Limited | Clinic/Center | 2558 S Brentwood Blvd, Saint Louis, MO 63144-2309 | 2005-11-23 |
| 1699269928 | Physical Therapy Collective, LLC | Clinic/Center | 4642 Shenandoah Ave, Saint Louis, MO 63110-3424 | 2018-06-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63105 |
Please comment or provide details below to improve the information on TAWANA SPANN PHYSICAL THERAPY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.