Active NPI
Phoenix Therapies, LLC
- Physical Therapy Clinic/Center
- Wentzville, MO
National Provider Identifier
1407122310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Physical Therapist
- Wentzville, MO
- NPI 1518014976
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.