Tawana Spann Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

112062 Issued in MO

Legal business name

TAWANA SPANN PHYSICAL THERAPY LLC

Doing business as

FYZICAL THERAPY AND BALANCE

Practice address

950 Francis PL
Ste 205
Saint Louis, MO 63105-2465

Phone

(314) 627-1777

Fax

(314) 627-5747

NPI assigned

Sep 28, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Tawana Spann, PTNPI 1427326925

Title

President

Phone

(314) 363-4078

Specialties & licenses 1

Addresses

Other names 1

• FYZICAL THERAPY AND BALANCE Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

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

• Tawana Spann, PT, MS, GCS

  • Geriatric Physical Therapist
  • Saint Louis, MO
  • NPI 1427326925

  Geriatrics

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1053781468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 FRANCIS PL",
            "address_2": "STE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052465",
            "telephone_number": "314-627-1777",
            "fax_number": "314-627-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 FRANCIS PL",
            "address_2": "STE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052465",
            "telephone_number": "314-627-1777",
            "fax_number": "314-627-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAWANA SPANN PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "SPANN",
        "authorized_official_first_name": "TAWANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-363-4078",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "112062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL THERAPY AND BALANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph J Tauk, A.A.
• Nabil H Tauk, M.D.
• Marissa Lynn Taul
• Jessie Tavares
• Erin L. Taves, CRNA
• Jaklen Telmeez Beshay Tawfeles, MD
• Radwa Hossam Mohamed Wagdy Tawfik, MD
• Tawna Ledesma Counseling
• Robert Taxman, MD
• Chloe Tay, R.D.

• Physical Therapy Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.