Individual provider Active NPI

Emily Susan Weber, DPT

  • Physical Therapist
  • O'Fallon, MO
National Provider Identifier
1184730715
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2006023043 Issued in MO
Practice address
1096 Tom Ginnever Ave
O Fallon, MO 63366-4519
Phone
(636) 978-5255
NPI assigned
Aug 23, 2006
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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 2006023043 MO Primary

Addresses

Primary practice location

1096 Tom Ginnever Ave
O Fallon, MO 63366-4519

Mailing address

625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395
Phone (616) 356-5000

Other identifiers 2

IdentifierTypeStateIssuer
12325997OtherMOCAQH
P00370064OtherMOMEDICARE RAILROAD

Other names 1

  • Emily Susan Schaberg Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061101000516 MO Practitioner - Physical Therapist in Private Practice 7719984848 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Missouri, Columbia School of Medicine, 2006
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)

1428 W Meyer Rd
Wentzville, MO 63385-3499
Phone (636) 887-3660

2982 Hwy K
O Fallon, MO 63368-7861
Phone (636) 978-9235

4800 Mexico Rd
Suite 104
Saint Peters, MO 63376-1666
Phone (636) 928-4199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2006023043MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Babar Enterprises LLC Physical Therapist CurrentSince Aug 21, 2006 Accepting new patients
Physical Therapy Direct Physical Therapist CurrentSince Feb 28, 2023 Accepting new patients
Babar Enterprises LLC Physical Therapist Past Accepting new patients
Imove Telept, LLC Physical Therapist Past Accepting new patients
Babar Enterprises LLC Physical Therapist Past Accepting new patients

Locations

625 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546

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

2454 W Clay St
Saint Charles, MO 63301
Phone (636) 916-4625

4625 Lindell Blvd
Ste 510
Saint Louis, MO 63108
Phone (314) 367-7450

713 N New Ballas Rd
Saint Louis, MO 63141
Phone (314) 991-0480

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

Organizations & group practices 5

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1184730715",
    "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",
            "telephone_number": "616-356-5000",
            "fax_number": "616-356-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 TOM GINNEVER AVE",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633664519",
            "telephone_number": "636-978-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "EMILY",
        "middle_name": "SUSAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2006023043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12325997",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00370064",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "SCHABERG",
            "middle_name": "SUSAN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.