Individual provider Active NPI

Anna Daria Johnston, PT, DPT

  • Physical Therapist
  • Saint Peters, MO
National Provider Identifier
1164197604
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2021032146 Issued in MO
Practice address
300 First Executive Ave Ste C
Saint Peters, MO 63376-1655
Phone
(636) 939-9540
NPI assigned
Aug 16, 2021
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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 2021032146 MO Primary

Addresses

Primary practice location

300 First Executive Ave Ste C
Saint Peters, MO 63376-1655

Mailing address

625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395

Other practice location 1

3747 SW Raintree Dr
Lees Summit, MO 64082-4606
Phone (816) 537-5648

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210819001982 MO Practitioner - Physical Therapist in Private Practice 8820493414 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Babar Enterprises LLCGroup PAC ID 2365342318, 19 clinicians

Practice addresses (Care Compare)

300 1St Executive Ave
Suite C
Saint Peters, MO 63376-1655
Phone (636) 939-9540

Merit-based Incentive Payment System (MIPS)

Final score
76.03 of 100Reported as group
Quality
74.47
Improvement activities
40
Cost
66.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Babar Enterprises LLC Physical Therapist CurrentSince Mar 31, 2025 Accepting new patients
Apex Physical Therapy, LLC Physical Therapist CurrentSince Jan 3, 2024 Accepting new patients
Serc Rebabilitation Partners, LLC Physical Therapist CurrentSince Sep 13, 2021 Accepting new patients
Serc Rehabilitation Partners, LLC Physical Therapist CurrentSince Sep 13, 2021 Accepting new patients
Back 2 Motion Rehab, LLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Babar Enterprises LLC Physical Therapist Past Accepting new patients
Babar Enterprises LLC Physical Therapist Past Accepting new patients
Babar Enterprises LLC Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

625 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546

884 Woods Mill Rd
Ste 200
Ballwin, MO 63011
Phone (636) 238-4910

1225 SW State Route 7
Blue Springs, MO 64014
Phone (816) 295-2051

13732 Olive Blvd
Chesterfield, MO 63017
Phone (314) 786-5643

109 W Franklin St
Clinton, MO 64735
Phone (660) 383-1280

3747 SW Raintree Dr
Lees Summit, MO 64082
Phone (816) 537-5648

12674 Dorsett Rd
Maryland Heights, MO 63043
Phone (314) 384-9049

1096 Tom Ginnever Ave
O Fallon, MO 63366
Phone (636) 978-5255

2982 Highway K
O Fallon, MO 63368
Phone (636) 978-5255

7873 Highway N
O Fallon, MO 63368
Phone (636) 229-1777

1982 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 916-4625

4590 S Lindbergh Blvd
Ste 102
Saint Louis, MO 63127
Phone (314) 200-4903

300 First Executive Ave
Ste C
Saint Peters, MO 63376
Phone (636) 939-9540

4800 Mexico Rd
Ste 104
Saint Peters, MO 63376
Phone (636) 916-4625

605 E Booneslick Rd
Ste 3
Warrenton, MO 63383
Phone (636) 456-6350

8567 Watson Rd
Ste C
Webster Groves, MO 63119
Phone (314) 732-1553

1428 W Meyer Rd
Wentzville, MO 63385
Phone (636) 327-3333

Organizations & group practices 8

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": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1164197604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FIRST EXECUTIVE AVE STE C",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761655",
            "telephone_number": "636-939-9540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3747 SW Raintree Dr",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640824606",
            "country_code": "US",
            "telephone_number": "816-537-5648",
            "fax_number": "816-537-5649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "ANNA",
        "middle_name": "DARIA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2021032146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.