Jamie Baumer, DPT
Individual provider Active NPI Physical Therapist · Ballwin, MO
NPI 1134733645 · NPPES record last updated Dec 29, 2023
Key facts
- NPI
- 1134733645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2020025120 (MO)
- Practice address
- 14081 Manchester Rd
Ballwin, MO 63011-4513 - Phone
- (636) 493-8642
- NPI assigned
- Sep 2, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Saint Louis University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Axes Physical Therapy LLC
Practice addresses (Care Compare)
11330 Olive Blvd
Suite 130
Creve Coeur, MO 63141-7149
Phone (314) 896-2205
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231019003330 | MO | Practitioner - Physical Therapist in Private Practice | 2961858410 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axes Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Axes Physical Therapy, LLC | Physical Therapist | 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
11330 Olive Blvd
Ste 130
Creve Coeur, MO 63141
Phone (314) 896-2205
1195 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2020025120 | MO | Yes |
Addresses
Primary practice location
14081 Manchester Rd
Ballwin, MO 63011-4513
Mailing address
647 Spirit Airpark West Dr Ste 101
Chesterfield, MO 63005-1032
Phone (636) 206-4225
Other names
- Jamie Prus
Other providers in Ballwin, MO
- Abbe Lynn Bassin
- Ashley Amanda Battaglia
- Baum Chiropractic, LLC
- Kevin Michael Baum
- Margaret Bauman
- Lynne Bealke
- Bethany Becherer
- Behavioral Psychotherapists and Consultants, Incorporated
- Brigitte Ann Bell
- Colleen Bellamy
All providers in Ballwin, MO · 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 Dec 29, 2023. 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.