AXES PHYSICAL THERAPY I, LLC (NPI# 1679032700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679032700 |
| Entity Type | Organization |
| Organization Name | AXES PHYSICAL THERAPY I, LLC |
| Practice Address |
2018 Phoenix Center Dr Washington MO 63090-5544 |
| Mailing Address |
4273 Keaton Crossing Blvd O Fallon MO 63368-8220 |
| Practice Telephone | 3147184560 |
| Mailing Telephone | 6367951710 |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |
| Authorized Official Name | JOHN TEEPE (MEMBER) |
| Authorized Official Telephone | 5737562937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Axes Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093272460 | Axes Physical Therapy I, LLC | Prosthetic/Orthotic Supplier | 2018 Phoenix Center Dr, Washington, MO 63090-5544 | 2019-02-21 |
| Street Address |
2018 PHOENIX CENTER DR |
| City | WASHINGTON |
| State | MO |
| Zip Code | 63090-5544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093272460 | Axes Physical Therapy I, LLC | Prosthetic/Orthotic Supplier | 2018 Phoenix Center Dr, Washington, MO 63090-5544 | 2019-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1962975839 | Jennifer Biermann | Pharmacist | 801 E 5th Street, Washington, MO 63090 | 2019-01-03 |
| 1487199733 | Kristen Elaine Cleavelin | Registered Nurse | Mercy Convenient Care, 901 Patients First Drive, Washington, MO 63090 | 2016-12-22 |
| 1699146712 | Washington Community Counseling Center | Community/Behavioral Health | 421 W. 5th Street, Suite 110, Washington, MO 63090 | 2015-10-15 |
| 1598002024 | Americare At Vicotrian Manor of Washington, LLC | Assisted Living Facility | 2701 Rabbit Trail Dr, Washington, MO 63090 | 2013-01-03 |
| 1578824116 | Rhonda Ann Pepmiller | Nurse Practitioner | 851 E 5th St Ste 309, Washington, MO 63090 | 2012-05-30 |
| 1932486032 | Julie Joanne Lynch | Pharmacist | 890 Country Corners, Washington, MO 63090 | 2011-11-03 |
| 1043590839 | Laurie Elizabeth Bryson | Counselor | 102 Elm Street, Suite 204, Washington, MO 63090 | 2011-08-24 |
| 1164737490 | Mohan Mallikarjuna Edupuganti | Internal Medicine | 901 Patients First Dr Ste 2500, Washington, MO 63090 | 2010-08-11 |
| 1154640225 | Nicholas W Frederickson | Internal Medicine | 901 Patients First Drive Suite 3300, Washington, MO 63090 | 2010-05-27 |
| Find all providers in zip 63090 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174132302 | Full Circle Pt | Clinic/Center | 904 E Capitol St Ne Bsmt, Washington, DC 20003-3904 | 2020-07-23 |
| 1871121061 | Joe Norton Physical Therapy Pllc | Clinic/Center | 3222 N St Nw Ste 300, Washington, DC 20007-2895 | 2020-04-01 |
| 1649817990 | Phyt Collective, LLC | Clinic/Center | 818 Connecticut Ave Nw Ste 500, Washington, DC 20006-2713 | 2019-12-05 |
| 1962963280 | Manual Medicine Spine and Sports Physical Therapy | Clinic/Center | 1015 15th St Nw, Ste 614k, Washington, DC 20005 | 2019-03-28 |
| 1588136733 | University Physical Therapy Associates | Clinic/Center | 1160 Varnum St Ne Ste 217, Washington, DC 20017-2106 | 2018-12-28 |
| 1275014938 | District Performance & Physio | Clinic/Center | 1722 Eye St Nw Bsmt Level, Washington, DC 20006-3710 | 2018-08-22 |
| 1538578950 | Progressive Physical Therapy Center LLC | Clinic/Center | 901 6th St Sw Lbby Level, Fitness Level, Washington, DC 20024-3850 | 2014-08-11 |
| 1245593326 | Vital Physical Therapy LLC | Clinic/Center | 2401 M St Nw, Washington, DC 20037-1408 | 2012-06-22 |
| 1912275595 | Rose Physcial Therapy Group | Clinic/Center | 1101 Connecticut Ave Nw, Washington, DC 20036-4303 | 2011-12-09 |
| 1851687214 | Therapeutic Sessions Corporation | Clinic/Center | 3905 Dix St Ne, Washington, DC 20019-1401 | 2011-06-23 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 63090 |
Please comment or provide details below to improve the information on AXES PHYSICAL THERAPY I, 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.