Organization Active NPI

Phoenix Therapies, LLC

  • Physical Therapy Clinic/Center
  • Wentzville, MO
National Provider Identifier
1407122310
Registry record updated Mar 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHOENIX THERAPIES, LLC
Practice address
14 E Main St
Suite 108
Wentzville, MO 63385-1735
Phone
(636) 327-6983
Fax
(636) 327-6984
NPI assigned
Mar 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2012

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

Authorized official

Name
Mr. Christopher W Kuebler, PT
Title
Ceo
Phone
(636) 327-6983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MO Primary

Addresses

Primary practice location

14 E Main St
Suite 108
Wentzville, MO 63385-1735

Mailing address

14 E Main St
Suite 108
Wentzville, MO 63385-1735
Phone (636) 327-6983

National Provider Directory

National Provider Directory

Locations

14 E Main St
#108
Wentzville, MO 63385
Phone (636) 327-6983

14 E Main St
Ste 108
Wentzville, MO 63385
Phone (636) 327-6983

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1332633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332633600000",
    "number": "1407122310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 E MAIN ST",
            "address_2": "SUITE 108",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851735",
            "telephone_number": "636-327-6983",
            "fax_number": "636-327-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E MAIN ST",
            "address_2": "SUITE 108",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851735",
            "telephone_number": "636-327-6983",
            "fax_number": "636-327-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-25",
        "last_updated": "2012-03-25",
        "status": "A",
        "authorized_official_last_name": "KUEBLER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "636-327-6983",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2012; 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.