Organization Active NPI

Rueschhoff Physical Therapy Inc

Doing business as Heritage Physical Therapy

  • Physical Therapist
  • Lake Saint Louis, MO
National Provider Identifier
1316120256
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RUESCHHOFF PHYSICAL THERAPY INC
Doing business as
Heritage Physical Therapy
Practice address
10712 Veterans Memorial Pkwy
Lake Saint Louis, MO 63367-1469
Phone
(636) 561-8514
Fax
(636) 561-8573
NPI assigned
Dec 14, 2007
Organization subpart
Yes
Parent organization
RUESCHHOFF PHYSICAL THERAPY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Mr. Dan Rueschhoff
Title
President
Phone
(314) 821-0200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

10712 Veterans Memorial Pkwy
Lake Saint Louis, MO 63367-1469

Mailing address

1050 Old Des Peres Rd
Suite 40
Saint Louis, MO 63131-1873
Phone (314) 821-0200

Other names 1

  • Heritage Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rueschhoff Physical Inc3 organizations share this tax ID, including this one
Part of
Rueschhoff Physical Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1316120256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 OLD DES PERES RD",
            "address_2": "SUITE 40",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311873",
            "telephone_number": "314-821-0200",
            "fax_number": "314-821-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10712 VETERANS MEMORIAL PKWY",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633671469",
            "telephone_number": "636-561-8514",
            "fax_number": "636-561-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUESCHHOFF PHYSICAL THERAPY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUESCHHOFF PHYSICAL THERAPY INC",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "RUESCHHOFF",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-821-0200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.