NPIMap

Organization Active NPI

Atr Tony LLC

Doing business as Advanced Training And Rehab

  • Physical Therapist
  • Wentzville, MO
National Provider Identifier
1023569084
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ATR TONY LLC
Doing business as
Advanced Training And Rehab
Practice address
1229 Wentzville Pkwy
Suite 209
Wentzville, MO 63385-3552
Phone
(314) 453-9997
NPI assigned
Oct 14, 2016
Last updated
Oct 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
James S Hofman
Title
Managing Member
Phone
(314) 434-8680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1229 Wentzville Pkwy
Suite 209
Wentzville, MO 63385-3552

Mailing address

14515 North Outer 40 Rd
Suite 110
Chesterfield, MO 63017-5791

Other names 1

  • Advanced Training And Rehab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161219001237 MO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0446530034 Receives reassigned benefits from 7 practitioners
Practice locations: Wentzville, MO

National Provider Directory

National Provider Directory

Locations

1229 Wentzville Pkwy
Ste 209
Wentzville, MO 63385
Phone (636) 730-1118

372 Shadow Pines Dr
Wentzville, MO 63385
Phone (636) 590-4960

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1023569084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14515 NORTH OUTER 40 RD",
            "address_2": "SUITE 110",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 WENTZVILLE PKWY",
            "address_2": "SUITE 209",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853552",
            "telephone_number": "314-453-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATR TONY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "HOFMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "314-434-8680"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Training And Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.