Active NPI
Anna Watson
- Physical Therapist
- Webster GRVS, MO
National Provider Identifier
1144069402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2024018573
- Practice address
- 8654 Big Bend Blvd
Webster GRVS, MO 63119-3839 - Phone
- (314) 962-2634
- NPI assigned
- May 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2024018573 | MO | Primary |
Addresses
Primary practice location
8654 Big Bend Blvd
Webster GRVS, MO 63119-3839
Mailing address
1929 Sunny Dr
Kirkwood, MO 63122-2273
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2024018573 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Select Rehab St. Louis, LLC | Past | Accepting new patients | |
| SSM Select Rehab St Louis LLC | Past | Accepting new patients |
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.
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
-
- Rehabilitation Practitioner
- Breese, IL
- NPI 1740166347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1144069402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1929 SUNNY DR",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631222273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8654 BIG BEND BLVD",
"city": "WEBSTER GRVS",
"state": "MO",
"postal_code": "631193839",
"telephone_number": "314-962-2634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "ANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-24",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2024018573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster GRVS, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.