AXES PHYSICAL THERAPY, LLC (NPI# 1508330994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508330994 |
Entity Type | Organization |
Organization Name | AXES PHYSICAL THERAPY, LLC |
Practice Address |
4273 Keaton Crossing Blvd O Fallon MO 63368-8220 |
Practice Telephone | 6362066540 |
Mailing Telephone | 6362066540 |
Enumeration Date | 2019-01-18 |
Last Update Date | 2019-01-18 |
Authorized Official Name | JOHN TEEPE (MEMBER/AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 3147642230 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
Other Name | Type Code |
---|---|
Axes Physical Therapy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093312241 | Axes Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 7483 Mexico Rd, Saint Peters, MO 63376-1304 | 2020-10-01 |
1942822549 | Axes Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 213 Village Square Shop Ctr, Hazelwood, MO 63042-1838 | 2020-05-18 |
1720540313 | Axes Physical Therapy, LLC | Prosthetic/Orthotic Supplier | 754 Luetkenhaus Blvd, Wentzville, MO 63385-3515 | 2019-04-02 |
1003280421 | Axes Physical Therapy, LLC | Clinic/Center | 4273 Keaton Crossing Blvd, O Fallon, MO 63368-8220 | 2015-11-23 |
1942861190 | Axes Physical Therapy, LLC | Prosthetic/Orthotic Supplier | 1155 Hazel Ln, Farmington, MO 63640-1920 | 2019-06-27 |
1326609645 | Axes Physical Therapy, LLC | Prosthetic/Orthotic Supplier | 21 Silo Dr, Union, MO 63084-4917 | 2019-06-26 |
1295297885 | Axes Physical Therapy, LLC | Prosthetic/Orthotic Supplier | 4131 Union Rd, Saint Louis, MO 63129-1064 | 2019-04-02 |
1801363270 | Axes Physical Therapy, LLC | Prosthetic/Orthotic Supplier | 336 Festus Centre Dr, Festus, MO 63028-2458 | 2018-10-24 |
1235610916 | Axes Physical Therapy, LLC | Prosthetic/Orthotic Supplier | 336 Festus Centre Dr, Festus, MO 63028-2458 | 2018-08-22 |
Street Address |
4273 KEATON CROSSING BLVD |
City | O FALLON |
State | MO |
Zip Code | 63368-8220 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003280421 | Axes Physical Therapy, LLC | Clinic/Center | 4273 Keaton Crossing Blvd, O Fallon, MO 63368-8220 | 2015-11-23 |
1427530724 | Drew Dudek | Physical Therapist | 4273 Keaton Crossing Blvd, O Fallon, MO 63368-8220 | 2018-09-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
1770124802 | Lisa N. Greer | Technician | 6911 Brassel Dr., Ofallon, MO 63368 | 2019-09-30 |
1770145716 | Halie Faye Gulley | Dentist | 3009 Hwy K, O'fallon, MO 63368 | 2019-06-29 |
1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
1528507472 | Washeck Manual Therapy LLC | Clinic/Center | 3074 Winghaven Blvd, O'fallon, MO 63368 | 2017-02-13 |
1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
1124561469 | Cardinal Home Care LLC | Home Health | 18 Convent Garden Ct, O'fallon, MO 63368 | 2016-11-18 |
1336509272 | Sarah Marie Mudd | Counselor | 1654 Bryan Road, O'fallon, MO 63368 | 2016-03-04 |
1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
Find all providers in zip 63368 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407275852 | Advanced Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 802 Midpoint Dr, O Fallon, MO 63366-5945 | 2014-04-14 |
1932302676 | St. Charles Sports&physical Therapy, Inc. | Prosthetic/Orthotic Supplier | 939 Highway K, O Fallon, MO 63366-2910 | 2007-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497355689 | Hair On The Edge | Prosthetic/Orthotic Supplier | 9708 Lackland Rd, Overland, MO 63114-3414 | 2020-10-28 |
1427656727 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 755 S New Ballas Rd Ste 140, Saint Louis, MO 63141-8713 | 2020-10-09 |
1437783776 | Mager & Gougelman of St. Louis, LLC | Prosthetic/Orthotic Supplier | 1034 S Brentwood Blvd Ste 1880, Richmond Heights, MO 63117-1218 | 2020-02-25 |
1962042440 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 9665 Page Avenue, Overland, MO 63132 | 2020-01-13 |
1407496201 | Ortheco LLC | Prosthetic/Orthotic Supplier | 2907 Independence St Ste D, Cape Girardeau, MO 63703-5027 | 2020-01-09 |
1477100717 | Desirae Clark | Prosthetic/Orthotic Supplier | 5100 Lydia Ave, Kansas City, MO 64110-2608 | 2019-08-21 |
1720540313 | Axes Physical Therapy, LLC | Prosthetic/Orthotic Supplier | 754 Luetkenhaus Blvd, Wentzville, MO 63385-3515 | 2019-04-02 |
1093272460 | Axes Physical Therapy I, LLC | Prosthetic/Orthotic Supplier | 2018 Phoenix Center Dr, Washington, MO 63090-5544 | 2019-02-21 |
1215400312 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 4801 Main St Ste 220, Kansas City, MO 64112-2929 | 2019-01-10 |
1649778382 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 50 Crestwood Executive Ctr Ste 315, Saint Louis, MO 63126-1900 | 2018-01-29 |
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.