Mandy Sue Garber, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2009017628 Issued in MO

Practice address

1330 YMCA Dr
Festus, MO 63028-2661

Phone

(636) 931-7600

Fax

(636) 931-8808

NPI assigned

Jun 10, 2013

Last updated

Jun 10, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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 Select Rehab St Louis LLC

  • Rehabilitation Hospital
  • Richmond Heights, MO
  • NPI 1659511988
  NPD (past)
• SSM Select Rehab St. Louis, LLC

  dba SSM Physical Therapy

  • Rehabilitation Practitioner
  • Breese, IL
  • NPI 1740166347
  NPD (past)

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1093153371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 YMCA DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282661",
            "telephone_number": "636-931-7600",
            "fax_number": "636-931-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 YMCA DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282661",
            "telephone_number": "636-931-7600",
            "fax_number": "636-931-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARBER",
        "first_name": "MANDY",
        "middle_name": "SUE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2009017628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiela M Frimml, WHNP-BC
• Camille L Fuchs
• Bhaskara V.V.B. Gadi, M.D.
• Ryan Kade Gallegos, DDS
• Ashley Gamino
• Jessica Ann Garland, DPT
• Meghan Garvey
• Gastroenterology and Liver Consultants LLC
• Pascal E. Gaudreault, M.D.
• Denise L Gebhardt, RN

• Physical Therapy Assistant in Festus, MO
• Providers in Festus, 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 Jun 10, 2013; 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.