Jennifer Stateler, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.016150 Issued in IL

Practice address

3530 Laclede Ave
Saint Louis, MO 63103-2011

Phone

(314) 977-7419

Fax

(314) 977-2070

NPI assigned

May 4, 2007

Last updated

Mar 9, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Helfrich Holdings LLCGroup PAC ID 4981018736, 5 clinicians

Comprehensive Therapeutics LTDGroup PAC ID 8921230137, 324 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Therapeutics LTD

  • Physical Therapist
  • North Riverside, IL
  • NPI 1699094102
  Medicare reassignment Care Compare group NPD
• Helfrich Holdings LLC

  dba Tailor Made Physical Therapy

  • Physical Therapy Clinic/Center
  • Troy, IL
  • NPI 1295367548
  Medicare reassignment Care Compare group NPD
• Comprehensive Therapeutics LTD

  • Physical Therapist
  • Lagrange, GA
  • NPI 1881458354
  NPD
• SSM Health Care Group

  dba SLUCare Physician Group

  • Dermatopathology Physician
  • Saint Louis, MO
  • NPI 1932844495
  NPD (past)
• Collinsville Physical Therapy & Wellness, LLC

  • Physical Therapist
  • Collinsville, IL
  • NPI 1205033081
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1366654121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 LACLEDE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631032011",
            "telephone_number": "314-977-7419",
            "fax_number": "314-977-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 LACLEDE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631032011",
            "telephone_number": "314-977-7419",
            "fax_number": "314-977-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATELER",
        "first_name": "JENNIFER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 3365",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.016150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State of Missouri (Bellefontaine Habilitation Center)
• State of Missouri (Bellefontaine Habilitaion Center-Waiver Services)
• State of Missouri (Metropolitan St. Louis Psychiatric Center)
• State of Missouri (St. Louis Developmental Disabilities Treatment Center ISL)
• State of Missouri Department of Mental Health (St Louis Forensic Treatment Center)
• Stephen Francis Staten, MD
• James H States, ACNP
• Elizabeth Statler, COTA/L
• Charles T Staton Sr.
• Cyretha Ann Staton

• Physical Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.