Bernadette Smith Flanery, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2011017814 Issued in MO

Practice address

1 Village Square Ctr
Hazelwood, MO 63042-1817

Phone

(314) 731-4555

Fax

(314) 551-6110

NPI assigned

Jul 13, 2011

Last updated

Jul 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• SSM Physical Therapy

  dba Select Medical

  • Physical Therapy Clinic/Center
  • Hazelwood, MO
  • NPI 1588973531
  NPD (past)

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1013205962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VILLAGE SQUARE CENTER, SUITE A",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "63042",
            "telephone_number": "314-731-4555",
            "fax_number": "314-551-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VILLAGE SQUARE CTR",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421817",
            "telephone_number": "314-731-4555",
            "fax_number": "314-551-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANERY",
        "first_name": "BERNADETTE",
        "middle_name": "SMITH",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2011017814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathryn Ferris, DC
• Kathryn Feuerhahn
• Erin Rice Fick, D.O.
• First Choice Home Health Care LLC
• Holly Fischer, MA, MAC, BCBA, LBA
• Alexandra Taylor Foggie, CNA,CPR
• Clyde Edward Foland, D.C.
• Kathleen Jeanette Foland, FNP
• Danielle Frazier, LPC
• Fresh Start Home Care

• Physical Therapy Assistant in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.