JEAN STILES (NPI# 1417518655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417518655 |
| Entity Type | Individual |
| Full Name | JEAN STILES |
| Other Name | JEAN FORSTER |
| Credential | MPT |
| Practice Address |
15945 Clayton Rd Ste 210 Ballwin MO 63011-2491 |
| Practice Telephone | 3143253068 |
| Practice Fax Number | 3143253069 |
| Mailing Telephone | 3143253068 |
| Mailing Fax Number | 3143253069 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
117926 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
15945 CLAYTON RD STE 210 |
| City | BALLWIN |
| State | MO |
| Zip Code | 63011-2491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427442144 | Kelly Price | Physical Therapist | 15945 Clayton Rd Ste 210, Ballwin, MO 63011-2491 | 2015-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| Find all providers in zip 63011 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841346996 | Joseph Woodrow Harszy | Physical Therapist | 313 Annondale Ln., Ballwin, MO 63011 | 2007-01-25 |
| 1609286525 | Margaret Bauman | Physical Therapist | 15425 Manchester Rd, Suite 28, Ballwin, MO 63011-3077 | 2014-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605591 | Brendan Lee Thompson | Physical Therapist | 8356 Musick Memorial Dr, Saint Louis, MO 63144-2914 | 2020-10-06 |
| 1295349520 | Katie Bader | Physical Therapist | 118 Richardson Xing, Arnold, MO 63010-6023 | 2020-09-03 |
| 1801419601 | Junction Bracing & Pt | Physical Therapist | 4924d Sean Drive, Imperial, MO 63052 | 2020-05-27 |
| 1922629260 | Larry Dean Skeen Jr. | Physical Therapist | 1245 Banning Street, Marshfield, MO 65706 | 2020-04-28 |
| 1124656574 | Richard Dean Maas | Physical Therapist | 2230 W Sunset St, Springfield, MO 65807-5980 | 2020-03-31 |
| 1063059780 | Adam Sparks | Physical Therapist | 722 N State Highway 47 Ste A, Warrenton, MO 63383-1108 | 2019-12-01 |
| 1366928350 | Jeffrey D Bundrick | Physical Therapist | Whiteman Air Force Base, Knob Noster, MO 65305 | 2018-07-13 |
| 1982125944 | Zachary T Winchester | Physical Therapist | 3860 Vogel Rd, Arnold, MO 63010-3776 | 2017-06-29 |
| 1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
| 1003271487 | Scott Lawrence Jones | Physical Therapist | 912 W 78th St, Kansas City, MO 64114-1761 | 2015-12-29 |
| Find all providers with the same taxonomy | ||||
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| 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.