Organization Active NPI

Midwest Physical Rehab, LLC

  • Physical Therapist
  • Chesterfield, MO
National Provider Identifier
1013129030
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02178 Issued in MO
Legal business name
MIDWEST PHYSICAL REHAB, LLC
Practice address
14821 Clayton Rd
Chesterfield, MO 63017-7881
Phone
(636) 227-0559
Fax
(636) 227-0232
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James J Anthony, PTNPI 1821190349
Title
Owner
Phone
(636) 227-0559

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 02178 MO Primary

Addresses

Primary practice location

14821 Clayton Rd
Chesterfield, MO 63017-7881

Mailing address

14821 Clayton Rd
Chesterfield, MO 63017-7881
Phone (636) 227-0559

National Provider Directory

National Provider Directory

Locations

14821 Clayton Rd
Chesterfield, MO 63017
Phone (314) 267-2555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013129030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14821 CLAYTON RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177881",
            "telephone_number": "636-227-0559",
            "fax_number": "636-227-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14821 CLAYTON RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177881",
            "telephone_number": "636-227-0559",
            "fax_number": "636-227-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PHYSICAL REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-227-0559",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "02178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.