NPIMap

Organization Active NPI

Amato Physical Therapy Associates, LLC

Doing business as Excel Sports and Physical Therapy

  • Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1346276607
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00012 Issued in MO
Legal business name
AMATO PHYSICAL THERAPY ASSOCIATES, LLC
Doing business as
Excel Sports and Physical Therapy
Practice address
713 N New Ballas Rd
Saint Louis, MO 63141-6715
Phone
(314) 991-0480
NPI assigned
Jun 25, 2006
Last updated
Apr 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Authorized official

Name
Joseph Laurent
Title
Authorized Official
Phone
(616) 356-5011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 00012 MO Primary

Addresses

Primary practice location

713 N New Ballas Rd
Saint Louis, MO 63141-6715

Mailing address

11709 Old Ballas Rd
Suite 205
Saint Louis, MO 63141-7029
Phone (314) 991-0480

Other names 1

  • Excel Sports and Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4625 Lindell Blvd
Ste 510
Saint Louis, MO 63108
Phone (314) 367-7450

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1346276607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11709 OLD BALLAS RD",
            "address_2": "SUITE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417029",
            "telephone_number": "314-991-0480",
            "fax_number": "314-991-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 N NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416715",
            "telephone_number": "314-991-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMATO PHYSICAL THERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "LAURENT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "616-356-5011"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "00012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Sports and Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 30, 2018; 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.