St. John'S Sports and Therapy

Organization Active NPI Physical Therapy Clinic/Center · Chesterfield, MO

NPI 1194933705 · NPPES record last updated Jul 10, 2008

Key facts

NPI
1194933705
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapy Clinic/Center 261QP2000X
License
022074 (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
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 14

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

National Provider Directory

Tax ID family
St Johns Mercy Medical Center (15 organizations share this tax ID)

Specialties & licenses

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

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

Other providers in Chesterfield, MO

All providers in Chesterfield, MO · Physical Therapy Clinic/Center in Missouri

Sources for this page

Verify at the official NPI Registry.