ST. CHARLES SPORTS&PHYSICAL THERAPY, INC. (NPI# 1932302676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932302676 |
| Entity Type | Organization |
| Organization Name | ST. CHARLES SPORTS&PHYSICAL THERAPY, INC. |
| Practice Address |
939 Highway K O Fallon MO 63366-2910 |
| Practice Telephone | 6362407000 |
| Practice Fax Number | 6362407513 |
| Mailing Telephone | 6362407000 |
| Mailing Fax Number | 6362407513 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MONIKA WILSON (BUSINESS DIRECTOR) |
| Authorized Official Telephone | 6362407000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | MO | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164535217 | St. Charles Sports&physical Therapy, Inc. | Physical Therapist | 1840 Zumbehl Rd, Saint Charles, MO 63303-2761 | 2006-08-15 |
| 1356545750 | St. Charles Sports&physical Therapy, Inc. | Prosthetic/Orthotic Supplier | 1840 Zumbehl Rd, Saint Charles, MO 63303-2761 | 2007-06-12 |
| 1841494317 | St. Charles Sports&physical Therapy, Inc. | Prosthetic/Orthotic Supplier | 263 Centre Pointe Drive, St. Peters, MO 63376-7300 | 2007-06-11 |
| 1467655118 | St. Charles Sports&physical Therapy, Inc. | Prosthetic/Orthotic Supplier | 1155 Wentzville Pkwy, Ste 123, Wentzville, MO 63385-3476 | 2007-06-08 |
| Street Address |
939 HIGHWAY K |
| City | O FALLON |
| State | MO |
| Zip Code | 63366-2910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013020668 | Kathryn R Summers | Physical Therapist | 939 Highway K, O Fallon, MO 63366-2910 | 2006-08-17 |
| 1871143552 | Devon Justine Knapp | Physical Therapist | 939 Highway K, O Fallon, MO 63366-2910 | 2019-09-16 |
| 1659924413 | Haylee Renee Thibodeaux | Physical Therapist | 939 Highway K, O Fallon, MO 63366-2910 | 2019-07-22 |
| 1871015206 | Travis Wayne Sparks | Physical Therapist | 939 Highway K, O Fallon, MO 63366-2910 | 2017-07-07 |
| 1114359148 | Byran Charles Bortfeld | Physical Therapist | 939 Highway K, O Fallon, MO 63366-2910 | 2013-08-01 |
| 1528314002 | Lindsey Marie Krieg | Physical Therapist | 939 Highway K, O Fallon, MO 63366-2910 | 2012-08-02 |
| 1396069571 | Christopher Anthony Johnston | Physical Therapist | 939 Highway K, O Fallon, MO 63366-2910 | 2010-03-17 |
| 1841300373 | Shelly L Solem | Physical Therapist | 939 Highway K, O Fallon, MO 63366-2910 | 2006-08-30 |
| 1467565929 | William G Peroutka Jr. | Physical Therapist | 939 Highway K, O Fallon, MO 63366-2910 | 2006-08-17 |
| 1205949781 | Lesa A Goodman | Physical Therapist | 939 Highway K, O Fallon, MO 63366-2910 | 2006-08-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407314826 | Transformative Health 180 LLC | Physical Therapist | 821 West Terra Lane, O Fallon, MO 63366 | 2019-03-05 |
| 1740754126 | Donna Marie Person | Nurse Practitioner | 331 Magnolia Valley Dr., Ofallon, MO 63366 | 2019-01-18 |
| 1679069470 | Samantha Schulte | Clinical Pharmacology | 7 Poor Richard Ct, O Fallon, MO 63366 | 2018-07-03 |
| 1790218048 | Jill Buery | Marriage & Family Therapist | 801 S Woodlawn Ave, Ste 15, O'fallon, MO 63366 | 2017-04-04 |
| 1114466968 | Jessica Anne Morris | Counselor | 103 Lincoln Street, O'fallon, MO 63366 | 2017-02-13 |
| 1639528540 | Kyle James Neuschaefer | Dentist | 31 Ofallon Sq, O Fallon, MO 63366 | 2016-06-10 |
| 1295116143 | Katherine Seiler Harkess | Obstetrics & Gynecology | 300 Winding Woods Drive Suite 200, O'fallon, MO 63366 | 2015-06-16 |
| 1528453354 | Amanda Flamm | Nurse Practitioner | 1101 Hightway K, Ofallon, MO 63366 | 2015-03-30 |
| 1144639972 | Sara Birkemeier | Physical Therapist | 1541 Norwood Hills Dr, Ofallon, MO 63366 | 2014-08-06 |
| 1710390893 | Catherine Rose Most | Speech-Language Pathologist | 555 E. Terra Lane, Fort Zumwalt School District, O'fallon, MO 63366 | 2014-06-06 |
| Find all providers in zip 63366 | ||||
| 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 |
| 1508330994 | Axes Physical Therapy, LLC | Prosthetic/Orthotic Supplier | 4273 Keaton Crossing Blvd, O Fallon, MO 63368-8220 | 2019-01-18 |
| 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 |
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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.