Individual provider Active NPI

Kateri Elise Trapp, PT

  • Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1407288178
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2013025000 Issued in MO
Practice address
12608 Lamplighter Square SHPG Ctr
Saint Louis, MO 63128-2746
Phone
(314) 842-4222
NPI assigned
Aug 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2013025000 MO Primary

Addresses

Primary practice location

12608 Lamplighter Square SHPG Ctr
Saint Louis, MO 63128-2746

Mailing address

4400 Lindell Blvd
Unit 11K
Saint Louis, MO 63108-2452
Phone (319) 939-1664

Other names 1

  • Dr. Kateri Elise Bose Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1407288178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 LINDELL BLVD",
            "address_2": "UNIT 11K",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082452",
            "telephone_number": "319-939-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12608 LAMPLIGHTER SQUARE SHPG CTR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282746",
            "telephone_number": "314-842-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAPP",
        "first_name": "KATERI",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2013025000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATERI",
            "last_name": "BOSE",
            "middle_name": "ELISE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.