Active NPI
Janine M Ford, PT
- Physical Therapist
- Saint Louis, MO
National Provider Identifier
1013129279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 100779
- Practice address
- 11433 Olde Cabin Rd
Saint Louis, MO 63141-7136 - Phone
- (314) 432-4080
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 100779 | MO | Primary |
Addresses
Primary practice location
11433 Olde Cabin Rd
Saint Louis, MO 63141-7136
Mailing address
929 Kiefer Trails Dr
Ballwin, MO 63021-6078
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
| License | State | Type | Specialty |
|---|---|---|---|
| 100779 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John'S Mercy Therapy Services LLC | Past | Accepting new patients | |
| St. John'S Mercy Therapy Services LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Assistant
- Saint Louis, MO
- NPI 1205949138
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Saint Louis, MO
- NPI 1437350006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013129279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 KIEFER TRAILS DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630216078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11433 OLDE CABIN RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417136",
"telephone_number": "314-432-4080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "JANINE",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "100779",
"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.