Transformative Health 180 LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TRANSFORMATIVE HEALTH 180 LLC

Practice address

821 West Terra Lane
O Fallon, MO 63366

Phone

(636) 734-6141

Fax

(636) 294-3206

NPI assigned

Mar 5, 2019

Last updated

Mar 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy M Posadas, P.T.NPI 1710097423

Title

PT/Owner/Director

Phone

(636) 734-6141

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Posadas

  • Physical Therapist
  • O'Fallon, MO
  • NPI 1710097423
  Authorized official Same address or phone

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1407314826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 WEST TERRA LANE",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "63366",
            "telephone_number": "636-734-6141",
            "fax_number": "636-294-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 WEST TERRA LANE",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "63366",
            "telephone_number": "636-734-6141",
            "fax_number": "636-294-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIVE HEALTH 180 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "POSADAS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PT/OWNER/DIRECTOR",
        "authorized_official_telephone_number": "636-734-6141",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.