Jennifer N Rispoli, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2013004046 Issued in MO

Practice address

9331 Phoenix Village Pkwy
O Fallon, MO 63368-4281

Phone

(636) 561-4793

Fax

(636) 561-4811

NPI assigned

Jan 3, 2013

Last updated

Apr 23, 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

• Jennifer N Kirn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Babar Enterprises LLC

  dba Excel Sports and Physical Therapy

  • Physical Therapist
  • O'Fallon, MO
  • NPI 1366607814
  NPD (past)
• Babar Enterprises LLC

  dba Excel Sports and Physical Therapy

  • Physical Therapist
  • Warrenton, MO
  • NPI 1548425002
  NPD (past)

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1275870750",
    "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": "9331 PHOENIX VILLAGE PKWY",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633684281",
            "telephone_number": "636-561-4793",
            "fax_number": "636-561-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISPOLI",
        "first_name": "JENNIFER",
        "middle_name": "N",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-03",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2013004046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KIRN",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth L Riedemann
• Jessica Shelley Riedisser, D.C.
• Julia Riley, M.A.
• Isabella Rossi Riordan, MD
• Kimberly Wert Ripley
• Roy D Ritchey, DC
• River City Endodontics
• Riverheart Family Dentistry
• Ashley Kay Robel, D.C.
• Shannon Roberson, LPC

• Physical Therapist in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.