Active NPI
Manual Therapy Specialists, LLC
- Orthopedic Physical Therapist
- Chesterfield, MO
National Provider Identifier
1073753232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- MANUAL THERAPY SPECIALISTS, LLC
- Practice address
- 17300 N Outer 40
Suite 205
Chesterfield, MO 63005-1364 - Phone
- (636) 728-1777
- Fax
- (636) 728-1793
- NPI assigned
- Mar 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Justin Gorman, PT, MOMT
- Title
- Owner/Physical Therapist
- Phone
- (636) 728-1777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
17300 N Outer 40
Suite 205
Chesterfield, MO 63005-1364
Mailing address
17300 N Outer 40
Suite 205
Chesterfield, MO 63005-1364
Phone (636) 728-1777
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235952000000",
"number": "1073753232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17300 N OUTER 40",
"address_2": "SUITE 205",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630051364",
"telephone_number": "636-728-1777",
"fax_number": "636-728-1793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17300 N OUTER 40",
"address_2": "SUITE 205",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630051364",
"telephone_number": "636-728-1777",
"fax_number": "636-728-1793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANUAL THERAPY SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-02",
"last_updated": "2009-03-02",
"status": "A",
"authorized_official_last_name": "GORMAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JUSTIN",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "636-728-1777",
"authorized_official_credential": "PT, MOMT"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.