Individual provider Active NPI

Anthony J Wear, DPT

  • Physical Therapist
  • Saint Peters, MO
National Provider Identifier
1255685996
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2012037672 Issued in MO
Practice address
4800 Mexico Rd
Suite 104
Saint Peters, MO 63376-1666
Phone
(636) 939-9540
Fax
(636) 939-9886
NPI assigned
Nov 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2012037672 MO Primary

Addresses

Primary practice location

4800 Mexico Rd
Suite 104
Saint Peters, MO 63376-1666

Mailing address

2454 W Clay St
Saint Charles, MO 63301-2548
Phone (636) 916-4625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121203000369 MO Practitioner - Physical Therapist in Private Practice 2466604152 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atr Tony LLCGroup PAC ID 0446530034, 3 clinicians

Practice addresses (Care Compare)

1229 Wentzville Pkwy
Suite 209
Wentzville, MO 63385-3553
Phone (636) 730-1118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012037672MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atr Jeff LLC Physical Therapist CurrentSince Oct 5, 2015 Accepting new patients
Advanced Training and Rehab LLC Physical Therapist CurrentSince Jan 12, 2015 Accepting new patients
Atr Tony LLC Physical Therapist CurrentSince Feb 10, 2016 Accepting new patients
Atr Ryan LLC Physical Therapist CurrentSince Jan 15, 2016 Accepting new patients
Babar Enterprises LLC Physical Therapist Past Accepting new patients

Locations

3758 Monticello Plz
Saint Charles, MO 63304
Phone (636) 329-0110

333 S Kirkwood Rd
Ste 201
Saint Louis, MO 63122
Phone (314) 909-0517

3899 Veterans Memorial Pkwy
Ste A2
Saint Peters, MO 63376
Phone (636) 922-9933

14515 North Outer 40 Rd
Ste 110
Town and Country, MO 63017
Phone (314) 434-6060

372 Shadow Pines Dr
Wentzville, MO 63385
Phone (636) 590-4960

1229 Wentzville Pkwy
Ste 209
Wentzville, MO 63385
Phone (636) 730-1118

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351814400000",
    "number": "1255685996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 W CLAY ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012548",
            "telephone_number": "636-916-4625",
            "fax_number": "636-916-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 MEXICO RD",
            "address_2": "SUITE 104",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761666",
            "telephone_number": "636-939-9540",
            "fax_number": "636-939-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAR",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-02",
        "last_updated": "2012-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2012037672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.