Individual provider Active NPI

Andrew S Buelow, DPT

  • Physical Therapist
  • Chesterfield, MO
National Provider Identifier
1154661627
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2012038688 Issued in MO
Practice address
14450 South Outer 40 Rd
Chesterfield, MO 63017
Phone
(314) 434-6060
Fax
(314) 434-6066
NPI assigned
Feb 21, 2013
Last updated
Feb 21, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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 2012038688 MO Primary

Addresses

Primary practice location

14450 South Outer 40 Rd
Chesterfield, MO 63017

Mailing address

14450 South Outer 40 Rd
Chesterfield, MO 63017
Phone (314) 434-6060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130501000171 MO Practitioner - Physical Therapist in Private Practice 4880831338 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012038688MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Training and Rehab LLC Physical Therapist CurrentSince Feb 6, 2013 Accepting new patients
Cape Girardeau PT LLC Physical Therapist CurrentSince Aug 28, 2017 Accepting new patients

Locations

333 S Kirkwood Rd
Ste 201
Saint Louis, MO 63122
Phone (314) 909-0517

14450 South Outer 40 Rd
Town and Country, MO 63017
Phone (314) 434-6060

14515 North Outer 40 Rd
Ste 110
Town and Country, MO 63017
Phone (314) 434-6060

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1154661627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14450 SOUTH OUTER 40 RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "314-434-6060",
            "fax_number": "314-434-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14450 SOUTH OUTER 40 RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "314-434-6060",
            "fax_number": "314-434-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUELOW",
        "first_name": "ANDREW",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2012038688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.