Pelvimama LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PELVIMAMA LLC

Practice address

5439 Pernod Ave
Saint Louis, MO 63139-1557

Phone

(573) 822-4253

NPI assigned

Jul 18, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Ashley Rae Williams, DPTNPI 1629521836

Title

Owner

Phone

(573) 822-4253

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley R Williams, DPT

  • Physical Therapist
  • O Fallon, MO
  • NPI 1629521836
  NPD Authorized official

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1356189849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5439 PERNOD AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631391557",
            "telephone_number": "573-822-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5439 PERNOD AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631391557",
            "telephone_number": "573-822-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELVIMAMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-822-4253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pellegrine Inc/Dba Pearle Vision
• Sophia Pellegrini
• Grace B Pelowski, APRN
• Ann Pelt, LMSW
• Pelvicore LLC
• Erinn Kelsey Pemberton, MD
• Karyn A Pemberton, OTR
• Timothy Wayne Pemberton, OT
• Valentina Penalba
• Paul Raymond Pence, D.M.D

• Physical Therapy Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.