Alexa Gutierrez
Individual provider Active NPI Orthopedic Physical Therapist · Ofallon, MO
NPI 1134606239 · NPPES record last updated Oct 23, 2024
Key facts
- NPI
- 1134606239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 2018021494 (MO)
- Practice address
- 4273 Keaton Crossing Blvd
Ofallon, MO 63368-8220 - Phone
- (636) 493-8646
- NPI assigned
- Jul 23, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Missouri, Columbia School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Axes Physical Therapy LLC
Practice addresses (Care Compare)
14081 Manchester Rd
Ballwin, MO 63011-4513
Phone (636) 493-8642
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241028003377 | MO | Practitioner - Physical Therapist in Private Practice | 7911430004 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018021494 | MO | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axes Physical Therapy, LLC | Orthopedic | Current |
Accepting new patients |
| Axes Physical Therapy, LLC | Orthopedic | Current |
Accepting new patients |
| Axes Physical Therapy I, LLC | Current |
Accepting new patients | |
| Axes Physical Therapy I, LLC | Orthopedic | Current |
Accepting new patients |
Locations
14081 Manchester Rd
Ballwin, MO 63011
Phone (636) 223-5700
647 Spirit Airpark West Dr
Ste 101
Chesterfield, MO 63005
Phone (636) 223-5700
1155 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937
1195 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937
1120 W Commerce Dr
Ste 100
Festus, MO 63028
Phone (636) 224-7511
1201 Hrc Plaza Dr
Lake St Louis, MO 63367
Phone (636) 493-8156
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 2018021494 | MO | Yes |
Addresses
Primary practice location
4273 Keaton Crossing Blvd
Ofallon, MO 63368-8220
Mailing address
647 Spirit Airpark West Dr Ste 101
Chesterfield, MO 63005-1032
Phone (636) 223-5700
Other practice location 1
711 Veterans Memorial Pkwy Ste 202
Saint Charles, MO 63303-2106
Phone (636) 669-2345
Other names
- Alexa Burtnett
Other providers in Ofallon, MO
- Elizabeth Gebelein
- John Michael Goodwin
- Lisa N. Greer
- James Vincent Guida
- Halie Faye Gulley
- Katherine Seiler Harkess
- Rachel Harris
- Benjamin Eric Hendrix
- Nichole Lee Houston
- Kelli Howe
All providers in Ofallon, MO · Orthopedic Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.