Active NPI
St. Louis Arc Inc
Doing business as St Louis Arc
- Speech-Language Pathologist
- Saint Louis, MO
National Provider Identifier
1215076898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 507387603
- Legal business name
- ST. LOUIS ARC INC
- Doing business as
- St Louis Arc
- Practice address
- 1177 N. Warson Rd.
St. Louis, MO 63132 - Phone
- (314) 569-2211
- Fax
- (314) 569-3656
- NPI assigned
- Feb 6, 2007
- Last updated
- Jul 13, 2012
- Organization subpart
- Yes
- Parent organization
- ST. LOUIS ARC INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Tisone
- Title
- VP Operations
- Phone
- (314) 569-2211
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 507387603 | MO | |
| Pediatric Occupational Therapist | 225XP0200X | 507387603 | MO | |
| Speech-Language Pathologist | 235Z00000X | 507387603 | MO | Primary |
Addresses
Primary practice location
1177 N. Warson Rd.
St. Louis, MO 63132
Mailing address
1177 N. Warson Rd.
St. Louis, MO 63132
Phone (314) 569-2211
Other names 1
- St Louis Arc
National Provider Directory
National Provider Directory- Tax ID family
- St Louis Arc Inc
- Part of
- St Louis Arc Inc
Other organizations with this tax ID 25
Organizations that report the same tax identification number in the National Provider Directory.
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- Saint Louis, MO
- NPI 1194846220
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- Saint Louis, MO
- NPI 1215113568
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- Saint Louis, MO
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Locations
1177 N Warson Rd
Saint Louis, MO 63132
Phone (314) 569-2211
Practitioners & affiliated clinicians
Practitioners 45
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Saint Louis, MO
- NPI 1255446803
-
- Occupational Therapist
- Saint Louis, MO
- NPI 1750769915
-
- Behavior Analyst
- Saint Louis, MO
- NPI 1780055954
-
- Speech-Language Pathologist
- Saint Louis, MO
- NPI 1306331434
-
- Pediatric Occupational Therapist
- Saint Louis, MO
- NPI 1942457403
Pediatrics
-
- Speech-Language Pathologist
- Saint Louis, MO
- NPI 1821428202
-
- Behavior Analyst
- Saint Louis, MO
- NPI 1699119875
-
- Speech-Language Pathologist
- Saint Louis, MO
- NPI 1770921561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342137600000",
"number": "1215076898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1177 N. WARSON RD.",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63132",
"telephone_number": "314-569-2211",
"fax_number": "314-569-3656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1177 N. WARSON RD.",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63132",
"telephone_number": "314-569-2211",
"fax_number": "314-569-3656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. LOUIS ARC INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST. LOUIS ARC INC.",
"enumeration_date": "2007-02-06",
"last_updated": "2012-07-13",
"status": "A",
"authorized_official_last_name": "TISONE",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "VP OPERATIONS",
"authorized_official_telephone_number": "314-569-2211"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": "MO",
"license": "507387603",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "MO",
"license": "507387603",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "507387603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "St Louis Arc",
"code": "3",
"type": "Doing Business As"
}
]
}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 Jul 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.