Christine Ann Taylor, P. T.
Individual provider Active NPI Physical Therapist · Frontenac, MO
NPI 1023043882 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1023043882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- R1185 (MO)
- Practice address
- 10435 Clayton Rd
Suite 120
Frontenac, MO 63131-2909 - Phone
- (314) 985-3003
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1185 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Pain Center Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | R1185 | MO | Yes |
Addresses
Primary practice location
10435 Clayton Rd
Suite 120
Frontenac, MO 63131-2909
Mailing address
777 S New Ballas Rd
Suite 116E
Saint Louis, MO 63141-8705
Phone (314) 985-3003
Other providers in Frontenac, MO
- Tracy Elmer Strevey Jr.
- Ann Sudekum
- Joseph Sudekum
- Brian Sylve
- Molly J Szweda
- Thrive for Life Chiropractic LLC
- Thomas J Ward
All providers in Frontenac, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.