MR. STEPHEN M DOUGLAS (NPI# 1417976044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417976044 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN M DOUGLAS |
| Credential | P.T. |
| Practice Address |
217 Chesterfield Towne Ctr Chesterfield MO 63005-1257 |
| Mailing Address |
5459 Oakvilla Manor Dr Saint Louis MO 63129-3011 |
| Practice Telephone | 6367280889 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
117205 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497733109 | Stephen Kirk Douglas | Nurse Practitioner | 2675 Foxpointe Drive, Suite B, Columbus, IN 47203 | 2006-01-03 |
| 1811190127 | Stephen Aaron Douglas | Dentist | 5303 Colleyville Blvd, Colleyville, TX 76034 | 2007-06-06 |
| 1952423832 | Stephen Douglas | Psychologist | 785 E Broad St, Columbus, OH 43205-1013 | 2007-04-04 |
| Street Address |
217 CHESTERFIELD TOWNE CTR |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63005-1257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720132269 | Sports Enhancement Group LLC | Physical Therapist | 217 Chesterfield Towne Ctr, Chesterfield, MO 63005-1257 | 2007-01-22 |
| 1548275316 | Sports Enhancement Group, LLC | Physical Therapist | 217 Chesterfield Towne Ctr, Chesterfield, MO 63005-1257 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063901254 | Ryan Hewkin | Chiropractor | 17684 Chesterfield Airport Road, Chesterfield, MO 63005 | 2018-05-03 |
| 1093224487 | All Family Matters, LLC | In Home Supportive Care | 100 Chesterfield Business Pkwy Ste 200, Chesterfield, MO 63005 | 2017-09-28 |
| 1437681293 | Emily Therese Harpel | Pharmacist | 691 Trade Center Blvd, Chesterfield, MO 63005 | 2017-03-31 |
| 1831543826 | Leslie Noel Chanasue | Family Medicine | 17701 Edison Ave Ste 101, Chesterfield, MO 63005 | 2016-04-16 |
| 1497112874 | Jordan Kimler | Nurse Practitioner | 124 Chesterfield Towne Ctr, Chesterfield, MO 63005 | 2016-01-15 |
| 1265850556 | Richard George Rougeau | General Practice | 17679 Wildridge Drive, Wildwood, MO 63005 | 2014-04-03 |
| 1679912554 | Ceara M Barmeier | Physician Assistant | 17300 N Outer 40 Rd #101, Chesterfield, MO 63005 | 2013-06-24 |
| 1265794911 | Regeneration Orthopedics, LLC | Anesthesiology | 6 Mcbride & Son Center Dr., Ste 204, Chesterfield, MO 63005 | 2012-06-08 |
| 1528334984 | Syed Tanveer Haider | Radiologic Technologist | 16502 Barrister Lane, Chesterfield, MO 63005 | 2012-03-29 |
| 1144591041 | Sensible Dental - Chesterfield | Dentist | 100 Thf Blvd., Chesterfield, MO 63005 | 2012-01-24 |
| Find all providers in zip 63005 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992730584 | Ryan K Noirfalise | Physical Therapist | 17363 Edison Ave, Chesterfield, MO 63005-1250 | 2006-07-11 |
| 1336180249 | Kevin Patrick Doherty | Physical Therapist | 14825 N Outer Forty Road, Suite 300, Chesterfield, MO 63005-0002 | 2006-06-10 |
| 1629626189 | Nicole Katherine Reinhardt | Physical Therapist | 17300 N Outer 40 Rd Ste 202, Chesterfield, MO 63005-1364 | 2019-08-28 |
| 1811488166 | Jamie Martin | Physical Therapist | 30795 23 Mile Rd, Chesterfield, MI 48047-5720 | 2018-05-22 |
| 1073753232 | Manual Therapy Specialists, LLC | Physical Therapist | 17300 N Outer 40, Suite 205, Chesterfield, MO 63005-1364 | 2009-03-02 |
| 1548275316 | Sports Enhancement Group, LLC | Physical Therapist | 217 Chesterfield Towne Ctr, Chesterfield, MO 63005-1257 | 2006-07-30 |
| 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 | ||||
| City | CHESTERFIELD |
| Zip Code | 63005 |
Please comment or provide details below to improve the information on MR. STEPHEN M DOUGLAS.
| 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.