Active NPI
Cynthia Cheely, P.T.
- Physical Therapist
- Saint Louis, MO
National Provider Identifier
1295840403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 070006607 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosewood Physical Therapy LTD | Current | Accepting new patients | |
| 360 Body Wellness Inc | Past | Accepting new patients | |
| Terry J Coy | Physical Therapist | Past | Accepting new patients |
| South St. Louis Rehabilitation Institute, Inc. | Physical Therapist | Past | Accepting new patients |
| Optimum Wellness and Rehabilitation PC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Saint Louis, MO
- NPI 1568484681
-
- Internal Medicine Physician
- Glen Carbon, IL
- NPI 1679024228
-
- Chiropractor
- Glen Carbon, IL
- NPI 1861540239
Physical Therapist
-
- Physical Therapist
- Glen Carbon, IL
- NPI 1942359872
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.