Individual provider Active NPI

Rita Staat, P.T.

  • Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1013021773
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00820 Issued in MO
Practice address
78 Kenrick PLZ
Saint Louis, MO 63119-4414
Phone
(314) 962-8020
Fax
(314) 962-6570
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 00820 MO Primary

Addresses

Primary practice location

78 Kenrick PLZ
Saint Louis, MO 63119-4414

Mailing address

78 Kenrick PLZ
Saint Louis, MO 63119-4414
Phone (314) 962-8020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00820MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South St. Louis Rehabilitation Institute, Inc. Physical Therapist PastSince Oct 1, 2010 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013021773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 KENRICK PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194414",
            "telephone_number": "314-962-8020",
            "fax_number": "314-962-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 KENRICK PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194414",
            "telephone_number": "314-962-8020",
            "fax_number": "314-962-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAAT",
        "first_name": "RITA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "00820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.