Individual provider Active NPI

Jennifer Lyn Gearig, PTA

  • Physical Therapy Assistant
  • Saint Louis, MO
National Provider Identifier
1316296510
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2012023507 Issued in MO
Practice address
3 Founders Way Unit B
Saint Louis, MO 63105-3078
Phone
(419) 270-0371
NPI assigned
Sep 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2012023507 MO Primary
Physical Therapy Assistant 225200000X 5669 OH

Addresses

Primary practice location

3 Founders Way Unit B
Saint Louis, MO 63105-3078

Mailing address

3 Founders Way Unit B
Saint Louis, MO 63105-3078
Phone (419) 270-0371

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2012023507MOMDPhysical Therapy Assistant
5669OHMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1316296510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FOUNDERS WAY UNIT B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053078",
            "telephone_number": "419-270-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 FOUNDERS WAY UNIT B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053078",
            "telephone_number": "419-270-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEARIG",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2012023507",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "5669",
            "primary": false
        }
    ],
    "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 Sep 4, 2012; 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.