Taylor M Dittmann, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2017003393 Issued in MO

Practice address

4418 Telegraph Rd
Oakville, MO 63129-3316

Phone

(314) 894-2222

NPI assigned

Feb 9, 2017

Last updated

Sep 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Taylor M Chambless Former name

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Empowerme Wellness Kansas City, LLC

  • Multi-Specialty Clinic/Center
  • Kansas City, MO
  • NPI 1083208391

  Physical Therapist

  Medicare reassignment NPD
• Empowerme Rehabilitation Missouri LLC

  dba EmpowerMe Rehab St. Charles

  • Multi-Specialty Clinic/Center
  • Saint Charles, MO
  • NPI 1417479494
  Medicare reassignment
• Empowerme Rehabilitation Illinois, LLC

  • Occupational Therapist
  • Edwardsville, IL
  • NPI 1679098263
  Medicare reassignment
• Empowerme Wellness Kansas City, LLC

  • Multi-Specialty Clinic/Center
  • Belleville, IL
  • NPI 1174118103
  Medicare reassignment
• FLS Physical Therapy Associates PC

  dba Monroe Physical Therapy & Sports Medicine

  • Physical Therapy Clinic/Center
  • Columbia, IL
  • NPI 1669432522

  Physical Therapist

  NPD

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1215475223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "314-894-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 TELEGRAPH RD",
            "city": "OAKVILLE",
            "state": "MO",
            "postal_code": "631293316",
            "telephone_number": "314-894-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Brim St",
            "address_purpose": "LOCATION",
            "city": "Desloge",
            "state": "MO",
            "postal_code": "636013441",
            "country_code": "US",
            "telephone_number": "573-431-0223 x118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DITTMANN",
        "first_name": "TAYLOR",
        "middle_name": "M",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2017003393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "CHAMBLESS",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin Daniel Brennan, DO
• Kristin Brewer
• Taylor Shae Cobbel, PT, DPT, MBA
• Lydia Jean Ham, DPT
• Alexis Hudspeth, PHARM D
• Mercy Pharmacy Services LLC (Mercy Pharmacy Telegraph)
• Nicole Sells
• SSM Select Rehab St. Louis, LLC

• Physical Therapist in Oakville, MO
• Providers in Oakville, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.