Active NPI
Jayne M Scanlan, MS PT
- Physical Therapist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2003013786
- Practice address
- 4131 Union Rd
Saint Louis, MO 63129-1064 - Phone
- (314) 274-9222
- NPI assigned
- Aug 30, 2006
- 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 | 2003013786 | MO | Primary |
Addresses
Primary practice location
4131 Union Rd
Saint Louis, MO 63129-1064
Mailing address
4273 Keaton Crossing Blvd
O Fallon, MO 63368-8220
Phone (636) 206-6540
Other practice location 1
2937 South Brentwood Blvd
Brentwood, MO 63144
Phone (314) 961-3804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040322000954 | MO | Practitioner - Physical Therapist in Private Practice | 0143111070 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Axes Physical Therapy LLC
Practice addresses (Care Compare)
4273 Keaton Crossing Blvd
O Fallon, MO 63368-8220
Phone (636) 206-6540
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5208 | AZ | MD | Occupational Therapy Assistant |
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 |
| Central Missouri Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Prorehab PC | Past | Accepting new patients |
Locations
14081 Manchester Rd
Ballwin, MO 63011
Phone (636) 223-5700
1195 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937
1155 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937
4273 Keaton Crossing Blvd
O Fallon, MO 63368
Phone (636) 206-4225
4131 Union Rd
Saint Louis, MO 63129
Phone (314) 274-9222
21 Silo Dr
Union, MO 63084
Phone (636) 649-4131
2018 Phoenix Center Dr
Washington, MO 63090
Phone (314) 718-4560
Interoperability endpoints
- jayne.markumscanlan.p2@direct.athleticoltd.nextgenshare.com
Organizations & group practices 15
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.
-
- Physical Therapy Clinic/Center
- O Fallon, MO
- NPI 1003280421
MO, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Creve Coeur, MO
- NPI 1699530931
Physical Therapist
-
- Prosthetic/Orthotic Supplier
- Saint Louis, MO
- NPI 1235725565
-
- Durable Medical Equipment & Medical Supplies
- Saint Peters, MO
- NPI 1255068946
-
- Durable Medical Equipment & Medical Supplies
- Ballwin, MO
- NPI 1275269912
-
- Prosthetic/Orthotic Supplier
- Saint Louis, MO
- NPI 1295297885
-
- Prosthetic/Orthotic Supplier
- O Fallon, MO
- NPI 1508330994
-
- Prosthetic/Orthotic Supplier
- Wentzville, MO
- NPI 1720540313
-
- Prosthetic/Orthotic Supplier
- Festus, MO
- NPI 1801363270
-
- Durable Medical Equipment & Medical Supplies
- Hazelwood, MO
- NPI 1942822549
-
- Prosthetic/Orthotic Supplier
- Farmington, MO
- NPI 1942861190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1164532289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4273 KEATON CROSSING BLVD",
"city": "O FALLON",
"state": "MO",
"postal_code": "633688220",
"telephone_number": "636-206-6540",
"fax_number": "636-422-1051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 UNION RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631291064",
"telephone_number": "314-274-9222"
}
],
"practiceLocations": [
{
"address_1": "2937 South Brentwood Blvd",
"address_purpose": "LOCATION",
"city": "Brentwood",
"state": "MO",
"postal_code": "63144",
"country_code": "US",
"telephone_number": "314-961-3804",
"fax_number": "314-961-1147",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCANLAN",
"first_name": "JAYNE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MS PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2003013786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.