NPIMap

Organization Active NPI

St. John's Sports and Therapy

  • Physical Therapy Clinic/Center
  • Chesterfield, MO
National Provider Identifier
1194933705
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
022074 Issued in MO
Legal business name
ST. JOHN'S SPORTS AND THERAPY
Practice address
14561 N Outer 40
Chesterfield, MO 63017-5703
Phone
(314) 881-4200
Fax
(314) 881-4221
NPI assigned
May 18, 2007
Last updated
Jul 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Joni G Barry, PT, DPT, NCS
Title
Physical Therapist
Phone
(314) 881-4255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 022074 MO Primary

Addresses

Primary practice location

14561 N Outer 40
Chesterfield, MO 63017-5703

Mailing address

14561 N Outer 40
Chesterfield, MO 63017-5703
Phone (314) 881-4255

National Provider Directory

National Provider Directory
Tax ID family
St Johns Mercy Medical Center15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1194933705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14561 N OUTER 40",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175703",
            "telephone_number": "314-881-4255",
            "fax_number": "314-881-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14561 N OUTER 40",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175703",
            "telephone_number": "314-881-4200",
            "fax_number": "314-881-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S SPORTS AND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "JONI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "314-881-4255",
        "authorized_official_credential": "PT, DPT, NCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "022074",
            "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 Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.