WYNNETTE LYNNELLE PHILLIPS (NPI# 1629188685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629188685 |
| Entity Type | Individual |
| Full Name | WYNNETTE LYNNELLE PHILLIPS |
| Credential | OTR L CHT |
| Practice Address |
4131 Union Rd Saint Louis MO 63129-1064 |
| Mailing Address |
4273 Keaton Crossing Blvd O Fallon MO 63368-8220 |
| Practice Telephone | 3142749222 |
| Practice Fax Number | 3142009609 |
| Mailing Telephone | 6362064225 |
| Mailing Fax Number | 6364221051 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
2000145524 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3950 Vogel Rd, Arnold, MO 63010 | 6364610900 | 6364610047 |
| Street Address |
4131 UNION RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63129-1064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295297885 | Axes Physical Therapy, LLC | Prosthetic/Orthotic Supplier | 4131 Union Rd, Saint Louis, MO 63129-1064 | 2019-04-02 |
| 1770693855 | Amanda J Carter | Physical Therapist | 4131 Union Rd, Saint Louis, MO 63129-1064 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447730742 | Total Access Urgent Care, PC | Clinic/Center | 4400 Telegraph Road, 4400 Telegraph Road, St. Louis, MO 63129 | 2018-08-16 |
| 1679061808 | Susan Swyers Grogan | Occupational Therapist | 2806 Flamewood Drive, St. Louis, MO 63129 | 2018-04-24 |
| 1376073981 | Eric Piatchek | Specialist/Technologist | 2661 Bluff Ridge Drive, St. Louis, MO 63129 | 2017-06-15 |
| 1033647144 | Keona E Smith | Nurse Practitioner | 7334 Lindbergh Blvd, Ballwin, MO 63129 | 2017-06-02 |
| 1588036966 | Sarah Michelle Corry | Occupational Therapist | 5043 Telegraph Rd, St Louis, MO 63129 | 2015-10-26 |
| 1598169120 | Vivian Carr | Counselor | 5266 Sir Bors Drive, St. Louis, MO 63129 | 2014-10-10 |
| 1982044327 | Andrew Michael Bryant | Family Medicine | 4280 Mid America Lane, Saint Louis, MO 63129 | 2013-06-30 |
| 1306185533 | John Alexander Miller | Registered Nurse | 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 | 2013-02-07 |
| 1346597457 | Pain and Performance Relief LLC | Physical Medicine & Rehabilitation | 4175 Crescent Dr Ste A, Saint Louis, MO 63129 | 2012-08-08 |
| 1366721516 | Teresa Lyn Bitter | Speech-Language Pathologist | 7325 Summerview Manor Lane, St. Louis, MO 63129 | 2011-08-05 |
| Find all providers in zip 63129 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477670602 | Valeri D Calhoun | Occupational Therapist | 84 Kenrick Plz, Saint Louis, MO 63119-4414 | 2007-03-23 |
| 1568484681 | South St. Louis Rehabilitation Institute, Inc. | Occupational Therapist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2006-07-25 |
| 1467088948 | Kelsey Galicia | Occupational Therapist | 1027 Bellevue Ave, Saint Louis, MO 63117-1996 | 2020-03-17 |
| 1215307350 | Carol Macdonald | Occupational Therapist | 763 S New Ballas Rd, Ste 200, Saint Louis, MO 63141-8704 | 2015-10-01 |
| 1417354374 | Brittany Marie Joseph | Occupational Therapist | 12855 N 40 Dr, 250, Saint Louis, MO 63141-8657 | 2014-11-20 |
| 1063798288 | Stacie L Luter | Occupational Therapist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2011-11-02 |
| 1356446256 | Jean M Fiala | Occupational Therapist | 11433 Olde Cabin Rd, Saint Louis, MO 63141-7136 | 2006-09-14 |
| 1649373960 | Patricia Ann Lees | Occupational Therapist | 11433 Olde Cabin Rd, Saint Louis, MO 63141-7136 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003247867 | Debra Roxann Larkins | Occupational Therapist | 1565 Ne Douglas St, Lees Summit, MO 64086-4611 | 2013-12-04 |
| 1689980286 | Elizabeth Tina Veraldi | Occupational Therapist | 1027 Bellevue Ave Ste 15, Richmond Heights, MO 63117-1851 | 2010-08-20 |
| 1104144013 | Matt A Cummings | Occupational Therapist | 9051 Ne 81st Ter Ste 110, Kansas City, MO 64158-1168 | 2010-05-17 |
| 1982845442 | Barbara Eggert Dennis | Occupational Therapist | 9503 Hwy 100, New Haven Care Center Inc, New Haven, MO 63068 | 2009-03-13 |
| 1881844637 | Dawn Marie Hentschke | Occupational Therapist | 9760 N Ash Ave, Kansas City, MO 64157-9742 | 2008-09-29 |
| 1679734602 | Nicole Cozean | Occupational Therapist | 2917 Independence St Ste 400, Cape Girardeau, MO 63703-5025 | 2008-06-23 |
| 1720263361 | Mary Anne Mcdowell | Occupational Therapist | 42 W Concord Ave, Kansas City, MO 64112-2830 | 2008-01-02 |
| 1083764997 | Aurora Hand Therapy, Inc | Occupational Therapist | 300 Ne Missouri Rd, Lees Summit, MO 64086-4714 | 2007-01-11 |
| 1740342245 | Jason Prentice Little | Occupational Therapist | 1225 S 7 Hwy, Blue Springs, MO 64014-3539 | 2006-12-14 |
| 1003926130 | Ann Heath Pietroburgo | Occupational Therapist | 4600 Chippewa, Ste F, St Louis, MO 63116 | 2006-08-30 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63129 |
Please comment or provide details below to improve the information on WYNNETTE LYNNELLE PHILLIPS.
| 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.