Active NPI
Ann Marie Pondrom, PT
- Physical Therapist
- St Robert, MO
National Provider Identifier
1366401150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 110413
- Practice address
- 608 Old Route 66
St Robert, MO 65584-3730 - Phone
- (573) 336-8991
- Fax
- (573) 336-8993
- NPI assigned
- Mar 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 110413 | MO | Primary |
Addresses
Primary practice location
608 Old Route 66
St Robert, MO 65584-3730
Mailing address
14310 Howard LN
Dixon, MO 65459-7329
Phone (573) 336-3490
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
| License | State | Type | Specialty |
|---|---|---|---|
| 110413 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1366401150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14310 HOWARD LN",
"city": "DIXON",
"state": "MO",
"postal_code": "654597329",
"telephone_number": "573-336-3490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 OLD ROUTE 66",
"city": "ST ROBERT",
"state": "MO",
"postal_code": "655843730",
"telephone_number": "573-336-8991",
"fax_number": "573-336-8993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONDROM",
"first_name": "ANN",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "110413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Robert, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.