NPIMap

Organization Active NPI

Advanced Training and Rehab LLC

  • Physical Therapist
  • Chesterfield, MO
National Provider Identifier
1174576045
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ADVANCED TRAINING AND REHAB LLC
Practice address
14450 S Outer 40
Chesterfield, MO 63017-5711
Phone
(314) 434-6060
Fax
(314) 434-6066
NPI assigned
May 19, 2006
Last updated
Oct 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Jim S Hofman
Title
Managing Member
Phone
(314) 453-9997

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Hand Occupational Therapist 225XH1200X

Addresses

Primary practice location

14450 S Outer 40
Chesterfield, MO 63017-5711

Mailing address

14450 S Outer 40
Chesterfield, MO 63017-5711
Phone (314) 434-6060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040621000163 MO Part B Supplier - Clinic/Group Practice 2961487475 Receives reassigned benefits from 48 practitioners
Practice locations: Creve Coeur, MO; Saint Peters, MO; Saint Louis, MO; Richmond Heights, MO; Festus, MO; Kirkwood, MO; Chesterfield, MO; Bridgeton, MO

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

12108 Saint Charles Rock Rd
Bridgeton, MO 63044
Phone (314) 739-2020

14380 South Outer 40 Rd
Chesterfield, MO 63017
Phone (314) 291-9900

675 Old Ballas Rd
Ste 106
Creve Coeur, MO 63141
Phone (314) 310-6655

1171 W Gannon Dr
Festus, MO 63028
Phone (636) 933-7200

8235 Clayton Rd
Ste 102
Richmond Heights, MO 63117
Phone (314) 530-5990

4044 Butler Hill Rd
Saint Louis, MO 63129
Phone (314) 487-6644

4055 N Saint Peters Pkwy
Saint Peters, MO 63304
Phone (636) 238-1700

Practitioners & affiliated clinicians

Practitioners 68

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 68

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1174576045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14450 S OUTER 40",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175711",
            "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 S OUTER 40",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175711",
            "telephone_number": "314-434-6060",
            "fax_number": "314-434-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED TRAINING AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "HOFMAN",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "314-453-9997"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 4, 2007; 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.