Judith R Gelber, PT
Individual provider Active NPI Physical Therapist · Saint Louis, MO
NPI 1245433481 · NPPES record last updated Oct 22, 2015
Key facts
- NPI
- 1245433481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2007015752 (MO)
- Practice address
- 4444 Forest Park Ave
Ste 1212
Saint Louis, MO 63108-2212 - Phone
- (314) 286-1940
- Fax
- (314) 286-1473
- NPI assigned
- Jun 6, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forward Movement Analysis & Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2007015752 | MO | Yes |
Addresses
Primary practice location
4444 Forest Park Ave
Ste 1212
Saint Louis, MO 63108-2212
Mailing address
4444 Forest Park Ave
C B 8502
Saint Louis, MO 63108-2212
Phone (314) 286-1940
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223531654 | Medicaid | MO |
Other providers in Saint Louis, MO
- Julia Geissler
- Geistler Family Footcare, Inc.
- Perry Kent Geistler
- Margaret Marie Geisz
- Lawrence D Gelb
- Richard H Gelberman
- Chelsea Leigh Geldmacher
- Victoria Gelfand
- Helen Theresa Gelhot
- Mary E Gellens
All providers in Saint Louis, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.