Individual provider Active NPI

Cynthia Cheely, P.T.

  • Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1295840403
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
78 Kenrick PLZ
Saint Louis, MO 63119-4414
Phone
(314) 962-8020
Fax
(314) 962-6570
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

78 Kenrick PLZ
Saint Louis, MO 63119-4414

Mailing address

78 Kenrick PLZ
Saint Louis, MO 63119-4414
Phone (314) 962-8020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040422000428 IL Practitioner - Physical Therapist in Private Practice 5395731681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

131 N Bellwood Dr
Suite C
East Alton, IL 62024-2088
Phone (618) 259-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070006607ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosewood Physical Therapy LTD CurrentSince Jun 16, 2011 Accepting new patients
360 Body Wellness Inc PastSince Dec 13, 2016 Accepting new patients
Terry J Coy Physical Therapist Past Accepting new patients
South St. Louis Rehabilitation Institute, Inc. Physical Therapist PastSince Oct 1, 2010 Accepting new patients
Optimum Wellness and Rehabilitation PC Physical Therapist PastSince Feb 1, 2014 Accepting new patients

Locations

131 N Bellwood Dr
Ste C
East Alton, IL 62024
Phone (618) 259-9400

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295840403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 KENRICK PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194414",
            "telephone_number": "314-962-8020",
            "fax_number": "314-962-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 KENRICK PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194414",
            "telephone_number": "314-962-8020",
            "fax_number": "314-962-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEELY",
        "first_name": "CYNTHIA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.