Individual provider Active NPI

Sarah E Reifsteck, PA-C, ATC

  • Surgical Physician Assistant
  • Creve Coeur, MO
National Provider Identifier
1114357241
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2016022088 Issued in MO
Practice address
633 Emerson Rd Ste 100
Creve Coeur, MO 63141-6739
Phone
(314) 991-4368
Fax
(314) 991-4369
NPI assigned
Nov 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 096003565 IL
Athletic Trainer 2255A2300X 2013023009 MO
Surgical Physician Assistant 363AS0400X 2016022088 MO Primary

Addresses

Primary practice location

633 Emerson Rd Ste 100
Creve Coeur, MO 63141-6739

Mailing address

633 Emerson Rd Ste 100
Creve Coeur, MO 63141-6739
Phone (314) 991-4368

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
096003565ILMDAthletic Trainer
2013023009MOMDAthletic Trainer
2016022088MOMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Health LLC PastSince Feb 20, 2026 Accepting new patients

Organizations & group practices 1

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": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1114357241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 EMERSON RD STE 100",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416739",
            "telephone_number": "314-991-4368",
            "fax_number": "314-991-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 EMERSON RD STE 100",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416739",
            "telephone_number": "314-991-4368",
            "fax_number": "314-991-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIFSTECK",
        "first_name": "SARAH",
        "middle_name": "E",
        "credential": "PA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-27",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096003565",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2013023009",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MO",
            "license": "2016022088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.