Individual provider Active NPI

Alexander Warren, DPT

  • Physical Therapist
  • Festus, MO
National Provider Identifier
1104669654
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2024022201 Issued in MO
Practice address
1120 W Commerce Dr Ste 100
Festus, MO 63028-2392
Phone
(636) 224-7511
NPI assigned
Jun 13, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2024022201 MO Primary

Addresses

Primary practice location

1120 W Commerce Dr Ste 100
Festus, MO 63028-2392

Mailing address

647 Spirit Airpark West Dr Ste 101
Chesterfield, MO 63005-1032
Phone (636) 223-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Axes Physical Therapy, LLC Physical Therapist CurrentSince Jun 14, 2024 Accepting new patients
Axes Physical Therapy, LLC Physical Therapist CurrentSince Jun 14, 2024 Accepting new patients
Alex Warren LLC Physical Therapist Current Accepting new patients
Axes Physical Therapy I, LLC CurrentSince Jun 14, 2024 Accepting new patients
Axes Physical Therapy I, LLC Physical Therapist CurrentSince Jun 14, 2024 Accepting new patients

Locations

118 Richardson Xing
Arnold, MO 63010
Phone (636) 206-4146

647 Spirit Airpark West Dr
Ste 101
Chesterfield, MO 63005
Phone (636) 223-5700

1195 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937

1155 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937

1120 W Commerce Dr
Ste 100
Festus, MO 63028
Phone (636) 224-7511

4273 Keaton Crossing Blvd
O Fallon, MO 63368
Phone (636) 206-4225

21 Silo Dr
Union, MO 63084
Phone (636) 649-4131

2018 Phoenix Center Dr
Washington, MO 63090
Phone (314) 718-4560

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1104669654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 SPIRIT AIRPARK WEST DR STE 101",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051032",
            "telephone_number": "636-223-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W COMMERCE DR STE 100",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282392",
            "telephone_number": "636-224-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "ALEXANDER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2024022201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.