Active NPI
Donna Marie Draves, P.T.
- Physical Therapist
- Festus, MO
National Provider Identifier
1306183629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2000163868
- Practice address
- 1330 YMCA Dr
Suite 1200
Festus, MO 63028-2661 - Phone
- (636) 931-7600
- Fax
- (636) 931-8808
- NPI assigned
- Jan 7, 2013
- 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 | 2000163868 | MO | Primary |
Addresses
Primary practice location
1330 YMCA Dr
Suite 1200
Festus, MO 63028-2661
Mailing address
1330 YMCA Dr
Suite 1200
Festus, MO 63028-2661
Phone (636) 931-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000163868 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1306183629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 YMCA DR",
"address_2": "SUITE 1200",
"city": "FESTUS",
"state": "MO",
"postal_code": "630282661",
"telephone_number": "636-931-7600",
"fax_number": "636-931-8808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 YMCA DR",
"address_2": "SUITE 1200",
"city": "FESTUS",
"state": "MO",
"postal_code": "630282661",
"telephone_number": "636-931-7600",
"fax_number": "636-931-8808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAVES",
"first_name": "DONNA",
"middle_name": "MARIE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-07",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2000163868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Festus, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.