Individual provider Active NPI

Stacey L Meers, PT

  • Physical Therapist
  • O Fallon, MO
National Provider Identifier
1124071808
Registry record updated Jun 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
100409 Issued in MO
Practice address
2982 Highway K
O Fallon, MO 63368-7861
Phone
(636) 978-9235
Fax
(636) 978-8299
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2016

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 100409 MO Primary

Addresses

Primary practice location

2982 Highway K
O Fallon, MO 63368-7861

Mailing address

607 Dewey Ave NW
Suite 300
Grand Rapids, MI 49504-7335
Phone (616) 356-5000

Other identifiers 2

IdentifierTypeStateIssuer
P01056506OtherMORAILROAD MEDICARE
12480677OtherMOCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028000901 MO Practitioner - Physical Therapist in Private Practice 6204020795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Babar Enterprises LLCGroup PAC ID 2365342318, 19 clinicians

Practice addresses (Care Compare)

1428 W Meyer Rd
Wentzville, MO 63385-3499
Phone (636) 887-3660

4800 Mexico Rd
Suite 104
Saint Peters, MO 63376-1666
Phone (636) 928-4199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100409MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Babar Enterprises LLC Physical Therapist CurrentSince Oct 12, 2010 Accepting new patients
Babar Enterprises LLC Physical Therapist Past Accepting new patients

Locations

2982 Highway K
O Fallon, MO 63368
Phone (636) 978-5255

2454 W Clay St
Saint Charles, MO 63301
Phone (636) 916-4625

1982 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 916-4625

713 N New Ballas Rd
Saint Louis, MO 63141
Phone (314) 991-0480

4625 Lindell Blvd
Ste 510
Saint Louis, MO 63108
Phone (314) 367-7450

4800 Mexico Rd
Ste 104
Saint Peters, MO 63376
Phone (636) 916-4625

1428 W Meyer Rd
Wentzville, MO 63385
Phone (636) 327-3333

Organizations & group practices 2

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465603200000",
    "number": "1124071808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 DEWEY AVE NW",
            "address_2": "SUITE 300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495047335",
            "telephone_number": "616-356-5000",
            "fax_number": "616-356-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2982 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687861",
            "telephone_number": "636-978-9235",
            "fax_number": "636-978-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEERS",
        "first_name": "STACEY",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2016-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "100409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01056506",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12480677",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.