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

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Movement Analysis & Rehabilitation, LLC Physical Therapist Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
223531654MedicaidMO

Other providers in Saint Louis, MO

All providers in Saint Louis, MO · Physical Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.