Individual provider Active NPI

Shawn A King

  • Orthopedic Physical Therapist
  • Hazelwood, MO
National Provider Identifier
1366908675
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
637 Dunn Rd
Hazelwood, MO 63042-1747
Phone
(314) 731-4555
NPI assigned
Feb 12, 2019
Last updated
Feb 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X NU Primary

Addresses

Primary practice location

637 Dunn Rd
Hazelwood, MO 63042-1747

Mailing address

10362 Old Olive Street Rd Apt 212
Creve Coeur, MO 63141-5936

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210604002163 MO Practitioner - Physical Therapist in Private Practice 9739588104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Physical Therapy, LLCGroup PAC ID 2264423458, 104 clinicians

Practice addresses (Care Compare)

4590 S Lindbergh Blvd
Suite 102 Apexnetwork Physical Therapy
Saint Louis, MO 63127-1839
Phone (314) 200-4903

Merit-based Incentive Payment System (MIPS)

Final score
76.03 of 100Reported as group
Quality
74.47
Improvement activities
40
Cost
66.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Therapy, LLC Orthopedic CurrentSince Jun 3, 2021 Accepting new patients
Apex Physical Therapy, LLC Orthopedic CurrentSince Jun 3, 2021 Accepting new patients
Apex Physical Therapy, LLC Past Accepting new patients

Locations

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

884 Woods Mill Rd
Ste 200
Ballwin, MO 63011
Phone (636) 238-4910

13732 Olive Blvd
Chesterfield, MO 63017
Phone (314) 786-5643

4500 Telegraph Rd
Ste 204
Saint Louis, MO 63129
Phone (314) 487-1204

4590 S Lindbergh Blvd
Ste 102
Saint Louis, MO 63127
Phone (314) 200-4903

4730 S National Ave
Ste C5
Springfield, MO 65810
Phone (417) 551-9333

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1366908675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10362 OLD OLIVE STREET RD APT 212",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 DUNN RD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421747",
            "telephone_number": "314-731-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SHAWN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazelwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.