NPIMap

Organization Active NPI

Post-Acute Physicians of Missouri PC

  • Physical Medicine & Rehabilitation Physician
  • Bridgeton, MO
National Provider Identifier
1164818290
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2013039617 Issued in MO
Legal business name
POST-ACUTE PHYSICIANS OF MISSOURI PC
Practice address
12380 De Paul Dr
Bridgeton, MO 63044-2511
Phone
(877) 749-7428
Fax
(512) 628-3314
NPI assigned
Apr 15, 2015
Last updated
Apr 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Authorized official

Name
Jose L Vargas, MDNPI 1295874840
Title
Ceo
Phone
(877) 749-7428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2013039617 MO Primary

Addresses

Primary practice location

12380 De Paul Dr
Bridgeton, MO 63044-2511

Mailing address

1776 Woodstead CT
Ste 208
The Woodlands, TX 77380-1480
Phone (877) 749-7428

Other practice location 1

2800 Clay Edwards Dr
Dept of Rehabilitation
North Kansas City, MO 64116-3220
Phone (816) 691-2050

Other practice location 2

500 NW 68th St
Kansas City, MO 64118-2455
Phone (877) 749-7428

Other practice location 3

1027 Bellevue Ave
Saint Louis, MO 63117-1996
Phone (877) 749-7428

Other practice location 4

604 Old 63 N
Columbia, MO 65201-4557
Phone (877) 749-7428

Other practice location 5

300 1st Capitol Dr
Saint Charles, MO 63301-2844
Phone (877) 749-7428

Other practice location 6

723 1st Capitol Dr
Saint Charles, MO 63301-2729
Phone (877) 749-7428

Other practice location 7

206 N Main St
O Fallon, MO 63366-2290
Phone (877) 749-7428

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150819007678 MO Part B Supplier - Clinic/Group Practice 6002121126 Receives reassigned benefits from 22 practitioners
Practice locations: Bridgeton, MO; Springfield, MO; Saint Louis, MO; Saint Charles, MO; Richmond Heights, MO; Ozark, MO; O Fallon, MO; North Kansas City, MO…

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1164818290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 WOODSTEAD CT",
            "address_2": "STE 208",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801480",
            "telephone_number": "877-749-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12380 DE PAUL DR",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442511",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 Clay Edwards Dr",
            "address_2": "Dept of Rehabilitation",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163220",
            "country_code": "US",
            "telephone_number": "816-691-2050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 NW 68th St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641182455",
            "country_code": "US",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1027 Bellevue Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631171996",
            "country_code": "US",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 Old 63 N",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652014557",
            "country_code": "US",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 1st Capitol Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633012844",
            "country_code": "US",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "723 1st Capitol Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633012729",
            "country_code": "US",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 N Main St",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "MO",
            "postal_code": "633662290",
            "country_code": "US",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POST-ACUTE PHYSICIANS OF MISSOURI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-749-7428",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2013039617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.