Active NPI
Paul Hallemann, PT
- Physical Therapist
- Ellisville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 104500
- Practice address
- 1346 Clarkson Clayton Ctr
Ellisville, MO 63011-2145 - Phone
- (636) 227-5200
- Fax
- (636) 227-5202
- NPI assigned
- May 17, 2006
- Sex
- Male
- 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 | 104500 | MO | Primary |
Addresses
Primary practice location
1346 Clarkson Clayton Ctr
Ellisville, MO 63011-2145
Mailing address
607 Dewey Ave NW
Ste 300
Grand Rapids, MI 49504-7335
Phone (616) 356-5000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00213397 | Other | MO | RAILROAD MEDICARE |
| 12322039 | Other | MO | CAQH |
| P01333525 | Other | MO | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1346 Clarkson Clayton Ctr
Ellisville, MO 63011-2145
Phone (636) 227-5200
4800 Mexico Rd
Suite 104
Saint Peters, MO 63376-1666
Phone (636) 928-4199
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Babar Enterprises LLC | Physical Therapist | Current | Accepting new patients |
| Babar Enterprises LLC | Physical Therapist | Past | Accepting new patients |
Locations
1346 Clarkson Clayton Ctr
Ellisville, MO 63011
Phone (636) 227-5200
2982 Highway K
O Fallon, MO 63368
Phone (636) 978-5255
713 N New Ballas Rd
Saint Louis, MO 63141
Phone (314) 991-0480
4800 Mexico Rd
Ste 104
Saint Peters, MO 63376
Phone (636) 916-4625
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Creve Coeur, MO
- NPI 1033178827
-
- Physical Therapist
- O Fallon, MO
- NPI 1053576512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1396797296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 DEWEY AVE NW",
"address_2": "STE 300",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495047335",
"telephone_number": "616-356-5000",
"fax_number": "616-356-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1346 CLARKSON CLAYTON CTR",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112145",
"telephone_number": "636-227-5200",
"fax_number": "636-227-5202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLEMANN",
"first_name": "PAUL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "104500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00213397",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12322039",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01333525",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ellisville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.