Individual provider Active NPI

Joshua Stephen Hubert, DPT

  • Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1194377291
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2020031966 Issued in MO
Practice address
4444 Forest Park Ave
Ste 1210
Saint Louis, MO 63108-2212
Phone
(314) 286-1940
Fax
(314) 286-1473
NPI assigned
Jul 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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 2020031966 MO Primary

Addresses

Primary practice location

4444 Forest Park Ave
Ste 1210
Saint Louis, MO 63108-2212

Mailing address

4444 Forest Park Ave
CB 8502
Saint Louis, MO 63108-2212
Phone (314) 286-1940

Other identifiers 1

IdentifierTypeStateIssuer
480092955MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201130001561 MO Practitioner - Physical Therapist in Private Practice 8527396563 Reassigns benefits to 1 organization
I20241023004257 CO Practitioner - Physical Therapist in Private Practice 8527396563 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Rocky Mountain Physical Therapy, Inc Physical Therapist CurrentSince Sep 9, 2024 Accepting new patients
Rocky Mountain Physical Therapy Inc, Physical Therapist CurrentSince Sep 9, 2024 Accepting new patients
Washington University Physical Therapist CurrentSince Dec 1, 2020 Accepting new patients
Washington University CurrentSince Dec 1, 2020 Accepting new patients
Washington University PastSince Nov 16, 2021 Accepting new patients
Presence Chicago Hospitals Network PastSince Jul 1, 2019 Accepting new patients

Locations

950 E Riggs Rd
Ste 1
Chandler, AZ 85249
Phone (480) 802-8730

21300 N John Wayne Pkwy
Ste 107
Maricopa, AZ 85139
Phone (480) 899-9829

16677 Lowell Blvd
Unit 101
Broomfield, CO 80023
Phone (720) 510-2370

2121 E Harmony Rd
Unit 310
Fort Collins, CO 80528
Phone (970) 221-3855

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

4444 Forest Park Ave
#8502
Saint Louis, MO 63108
Phone (314) 286-1430

4444 Forest Park Ave
Ste 1210
Saint Louis, MO 63108

4240 Duncan Ave
Ste 301
Saint Louis, MO 63110

470 Johnson Rd
Ste 100
Washington, PA 15301

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1194377291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 FOREST PARK AVE",
            "address_2": "CB 8502",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082212",
            "telephone_number": "314-286-1940",
            "fax_number": "314-747-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 FOREST PARK AVE",
            "address_2": "STE 1210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082212",
            "telephone_number": "314-286-1940",
            "fax_number": "314-286-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBERT",
        "first_name": "JOSHUA",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-10",
        "last_updated": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2020031966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "480092955",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "4444 Forest Park Ave",
            "address_2": "Ste 1210",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631082212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.