Taylor Marie Dittmann (NPI# 1215475223, PAC ID# 8729318126) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1215475223 |
| PAC ID by PECOS | 8729318126 |
| Professional Enrollment ID | I20190927001677 |
| Full Name | Taylor Marie Dittmann |
| Organization Legal Name | ATI HOLDINGS MISSOURI LLC |
| Address |
4418 Telegraph Rd Saint Louis MO 63129-3316 |
| Phone Number | 3148942222 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 3577885326 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 357 Marketplace Dr, Freeburg, IL 62243-4075 | 6185392020 | ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC |
| 4418 Telegraph Rd, Saint Louis, MO 63129-3316 | 3148942222 | ATI HOLDINGS MISSOURI LLC |
| 509 Hamacher St, Suite 101, Waterloo, IL 62298-1592 | 6189395555 | ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC |
| Organization Legal Name | ATI HOLDINGS MISSOURI LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tonya N Becker | Physical Therapy | Ati Holdings Missouri LLC | 4418 Telegraph Rd, Saint Louis, MO 63129-3316 |
| Street Address |
4418 TELEGRAPH RD |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63129-3316 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tonya N Becker | Physical Therapy | Ati Holdings Missouri LLC | 4418 Telegraph Rd, Saint Louis, MO 63129-3316 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Jo Flanigan | Occupational Therapy | Prorehab PC | 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 |
| Taylor Barker | Occupational Therapy | Prorehab PC | 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 |
| Matthew Gregory Williams | Occupational Therapy | Prorehab PC | 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 |
| Elizabeth M Miotti | Physical Therapy | Prorehab PC | 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 |
| Jaime M Mathieu | Occupational Therapy | Prorehab PC | 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 |
| Kathleen M Dahm | Occupational Therapy | Prorehab PC | 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 |
| Christina M Lyerla | Certified Registered Nurse Anesthetist (crna) | Washington University | 5201 Mid America Plz, Suite 1300, Saint Louis, MO 63129-0002 |
| Augustine R Hong | Ophthalmology | Washington University | 5201 Mid America Plz, Suite 2500, Saint Louis, MO 63129-0002 |
| Anna M Guimbarda | Occupational Therapy | Prorehab PC | 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 |
| Cory M Heslin | Occupational Therapy | Prorehab PC | 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 |
| Find all physicians in zip 63129 | |||
| City | SAINT LOUIS |
| Zip Code | 63129 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SAINT LOUIS + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.