Organization Active NPI

Somatic Performance Therapies, LLC

  • Physical Therapy Clinic/Center
  • Creve Coeur, MO
National Provider Identifier
1356044077
Registry record updated May 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SOMATIC PERFORMANCE THERAPIES, LLC
Practice address
745 Craig Rd Ste 206
Creve Coeur, MO 63141-7122
Phone
(314) 329-7476
Fax
(314) 710-3963
NPI assigned
Mar 22, 2023
Last updated
May 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2023

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

Authorized official

Name
Hannah Steele, DPTNPI 1568028033
Title
Owner
Phone
(314) 329-7476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

745 Craig Rd Ste 206
Creve Coeur, MO 63141-7122

Mailing address

745 Craig Rd Ste 206
Creve Coeur, MO 63141-7122
Phone (314) 329-7476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230727000781 MO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8820459696 Receives reassigned benefits from 1 practitioner
Practice locations: Creve Coeur, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683936000000",
    "number": "1356044077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 CRAIG RD STE 206",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417122",
            "telephone_number": "314-329-7476",
            "fax_number": "314-710-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 CRAIG RD STE 206",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417122",
            "telephone_number": "314-329-7476",
            "fax_number": "314-710-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMATIC PERFORMANCE THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-05-13",
        "certification_date": "2023-05-13",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-329-7476",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.