NPIMap

Organization Active NPI

Axes Physical Therapy, LLC

Doing business as Axes Physical Therapy

  • Physical Therapy Clinic/Center
  • O'Fallon, MO
National Provider Identifier
1003280421
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
AXES PHYSICAL THERAPY, LLC
Doing business as
Axes Physical Therapy
Practice address
4273 Keaton Crossing Blvd
O Fallon, MO 63368-8220
Phone
(636) 206-4225
Fax
(636) 422-1051
NPI assigned
Nov 23, 2015
Last updated
Nov 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John B TeepeNPI 1801905419
Title
Partner
Phone
(314) 718-4560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MO Primary

Addresses

Primary practice location

4273 Keaton Crossing Blvd
O Fallon, MO 63368-8220

Mailing address

4273 Keaton Crossing Blvd
O Fallon, MO 63368-8220
Phone (636) 206-4225

Other practice location 1

1348 Bass Pro Dr
Saint Charles, MO 63301-2461
Phone (636) 757-5075

Other practice location 2

118 Richardson Xing
Arnold, MO 63010-6023
Phone (636) 206-4146

Other practice location 3

1155 Hazel LN
Farmington, MO 63640
Phone (573) 756-2937

Other practice location 4

336 Festus Centre Dr
Festus, MO 63028-2458
Phone (636) 224-7511

Other practice location 5

7483 Mexico Rd
Saint Peters, MO 63376-1304
Phone (636) 206-3654

Other practice location 6

4131 Union Rd
Saint Louis, MO 63129-1064
Phone (314) 274-9222

Other practice location 7

7025 Howdershell Rd Ste E
Hazelwood, MO 63042-3811
Phone (314) 764-2230

Other practice location 8

109 Vierse Dr
Farmington, MO 63640-1323
Phone (573) 756-2793

Other names 1

  • Axes Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160324001215 MO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375840028 Receives reassigned benefits from 139 practitioners
Practice locations: Wentzville, MO; Troy, MO; Saint Peters, MO; Saint Louis, MO; Farmington, MO; Saint Charles, MO; O Fallon, MO; Hazelwood, MO…

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Axes Physical Therapy LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14081 Manchester Rd
Ballwin, MO 63011
Phone (636) 223-5700

1400 Forum Blvd
Ste 1C
Columbia, MO 65203
Phone (573) 810-5703

11330 Olive Blvd
Ste 130
Creve Coeur, MO 63141
Phone (314) 896-2205

179 Eureka Towne Center Dr
Eureka, MO 63025
Phone (636) 206-6725

109 Vierse Dr
Farmington, MO 63640
Phone (573) 756-2793

213 Village Square Shop Ctr
Ste 213
Hazelwood, MO 63042
Phone (314) 764-2230

1620 Highway Z
Pevely, MO 63070
Phone (636) 224-7511

8015 Mackenzie Rd
Saint Louis, MO 63123
Phone (314) 356-2442

8 The Plaza
Troy, MO 63379
Phone (636) 443-6639

Practitioners & affiliated clinicians

Practitioners 155

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 155

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1003280421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4273 KEATON CROSSING BLVD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688220",
            "telephone_number": "636-206-4225",
            "fax_number": "636-422-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4273 KEATON CROSSING BLVD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688220",
            "telephone_number": "636-206-4225",
            "fax_number": "636-422-1051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1348 Bass Pro Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633012461",
            "country_code": "US",
            "telephone_number": "636-757-5075",
            "fax_number": "636-757-5076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 Richardson Xing",
            "address_purpose": "LOCATION",
            "city": "Arnold",
            "state": "MO",
            "postal_code": "630106023",
            "country_code": "US",
            "telephone_number": "636-206-4146",
            "fax_number": "636-223-2542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1155 HAZEL LN",
            "address_purpose": "LOCATION",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "63640",
            "country_code": "US",
            "telephone_number": "573-756-2937",
            "fax_number": "573-756-2939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "336 Festus Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Festus",
            "state": "MO",
            "postal_code": "630282458",
            "country_code": "US",
            "telephone_number": "636-224-7511",
            "fax_number": "636-638-2199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7483 Mexico Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761304",
            "country_code": "US",
            "telephone_number": "636-206-3654",
            "fax_number": "636-387-6105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4131 Union Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631291064",
            "country_code": "US",
            "telephone_number": "314-274-9222",
            "fax_number": "314-200-9609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7025 Howdershell Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Hazelwood",
            "state": "MO",
            "postal_code": "630423811",
            "country_code": "US",
            "telephone_number": "314-764-2230",
            "fax_number": "314-764-2231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Vierse Dr",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636401323",
            "country_code": "US",
            "telephone_number": "573-756-2793",
            "fax_number": "573-756-2939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AXES PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "TEEPE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "314-718-4560"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axes Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Axes Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.