Active NPI
Theresa Coverick, DPT
- Physical Therapist
- Chesterfield, MO
National Provider Identifier
1194172718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2016021897
- Practice address
- 134 Chesterfield Valley Dr
Chesterfield, MO 63005-1161 - Phone
- (636) 812-0094
- NPI assigned
- May 24, 2016
- 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 | 2016021897 | MO | Primary |
Addresses
Primary practice location
134 Chesterfield Valley Dr
Chesterfield, MO 63005-1161
Mailing address
625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- theresa.coverick.p2@direct.athleticoltd.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1194172718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 ENTERPRISE DR",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605238813",
"telephone_number": "630-575-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 CHESTERFIELD VALLEY DR",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630051161",
"telephone_number": "636-812-0094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVERICK",
"first_name": "THERESA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-24",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2016021897",
"primary": true
}
],
"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 Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.