Organization Active NPI

St. Charles Sports&Physical Therapy, Inc.

  • Physical Therapist
  • Saint Charles, MO
National Provider Identifier
1164535217
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ST. CHARLES SPORTS&PHYSICAL THERAPY, INC.
Practice address
1840 Zumbehl Rd
Saint Charles, MO 63303-2761
Phone
(636) 947-7678
Fax
(636) 947-4350
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Monika Wilson
Title
Business Director
Phone
(636) 240-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X MO Primary

Addresses

Primary practice location

1840 Zumbehl Rd
Saint Charles, MO 63303-2761

Mailing address

939 Highway K
O Fallon, MO 63366-2910
Phone (636) 240-7000

National Provider Directory

National Provider Directory

Locations

3639 N Saint Peters Pkwy
Saint Peters, MO 63376
Phone (314) 441-7500

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1164535217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662910",
            "telephone_number": "636-240-7000",
            "fax_number": "636-240-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 ZUMBEHL RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032761",
            "telephone_number": "636-947-7678",
            "fax_number": "636-947-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHARLES SPORTS&PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "636-240-7000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.