CVPT-Olivette, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CVPT-OLIVETTE, LLC

Doing business as

St. Louis Physical Therapy

Practice address

2558 Gladiator Dr
Fenton, MO 63026-2285

Phone

(636) 861-6969

NPI assigned

Sep 5, 2007

Organization subpart

Yes

Parent organization

CVPT-OLIVETTE, LLCAs reported in NPPES

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

Authorized official

Name

Michael Gorman, PT, MOMT

Title

Owner

Phone

(636) 728-1777

Specialties & licenses 1

Addresses

Other names 1

• St. Louis Physical Therapy Doing business as

Part of

CVPT Olivette LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• CVPT-Olivette, LLC

  dba St. Louis Physical Therapy

  • Physical Therapy Clinic/Center
  • Olivette, MO
  • NPI 1457464323
  NPPES parent name

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1124212816",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2558 GLADIATOR DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262285",
            "telephone_number": "636-861-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVPT-OLIVETTE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CVPT-OLIVETTE, LLC",
        "enumeration_date": "2007-09-05",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-728-1777",
        "authorized_official_credential": "PT, MOMT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Louis Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Creamer II, MA, PLPC, NCC
• Jake Joseph Cromwell, DC
• John Martin Crowe Jr., M.D.
• Kara Leann Cundiff
• Jeffry L Cupps, DMD, MS
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• Kimberly Michelle Daller, FNP-BC
• Vandana Dalton, M.D.
• Daniel F. Guerra DMD, LLC (Eat Right Dentures)
• Brent Ryan Davidson, M.D.

• Physical Therapist in Fenton, MO
• Providers in Fenton, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.