Elizabeth Peters, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2004021608 Issued in MO

Practice address

1425 Wentzville Pkwy
Wentzville, MO 63385-3407

Phone

(636) 887-3660

Fax

(636) 887-3661

NPI assigned

Jan 16, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Babar Enterprises LLC

  • Physical Therapist
  • Creve Coeur, MO
  • NPI 1033178827
  NPD (past)

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1336325778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 MEXICO RD",
            "address_2": "SUITE 104",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761666",
            "telephone_number": "636-928-4199",
            "fax_number": "636-922-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 WENTZVILLE PKWY",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853407",
            "telephone_number": "636-887-3660",
            "fax_number": "636-887-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "ELIZABETH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2004021608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelcee B Pedersen, LPC
• Cecelia Elzora Peine, OTR/L
• Fernando Perez-Magnelli, MD
• Laura G Perrino, P.T.
• Personal Touch Home Care of Mo, Inc.
• Matthew Peters, LPC
• Kristine Noer Peterson, PSY.D.
• Patricia L Peterson
• Antonio Lawrence Petralia
• Christine Petty, LCSW

• Physical Therapy Assistant in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.