MTS-St. Charles

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MTS-ST. CHARLES

Practice address

4075 N Saint Peters Pkwy
Saint Peters, MO 63304-7396

Phone

(636) 685-0402

Fax

(636) 685-0403

NPI assigned

Jan 25, 2016

Organization subpart

No

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

Authorized official

Name

Michael Borman, PHD, PT, DMT, FAAOMP

Title

Owner

Phone

(636) 728-1777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1295192003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 NORTH OUTER 40 RD",
            "address_2": "SUITE 202",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051375",
            "telephone_number": "636-728-1777",
            "fax_number": "636-728-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 N SAINT PETERS PKWY",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633047396",
            "telephone_number": "636-685-0402",
            "fax_number": "636-685-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTS-ST. CHARLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "BORMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-728-1777",
        "authorized_official_credential": "PHD, PT, DMT, FAAOMP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Krieg Mosman, MMS, PA-C
• Kelley Ann Mount, PHD LPC
• Elizabeth Moyer, LPC
• Jennifer Lynn Moyes, FNP
• Natalie Louise Mozee-Zurheide, LPC
• Kenneth Mueller, DDS
• Stephanie Muertz, NP-C
• Prajakta Mungikar, MD
• Jan Munro, ED.D.
• Heather Munzert

• Physical Therapist in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.