Mindful Pilates and Wellness, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2014015093 Issued in MO

Legal business name

MINDFUL PILATES AND WELLNESS, LLC

Practice address

407 Summit Ave
Webster Groves, MO 63119-2638

Phone

(601) 942-8538

NPI assigned

Apr 7, 2017

Last updated

Apr 7, 2017By 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

Ashley PrulliereNPI 1477742112

Title

Physical Therapist/Owner

Phone

(601) 942-8538

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Ashley Prulliere, PT

  • Physical Therapist
  • Saint Louis, MO
  • NPI 1477742112
  Authorized official Same address or phone

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1407389349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 SUMMIT AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 SUMMIT AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192638",
            "telephone_number": "601-942-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL PILATES AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "PRULLIERE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "601-942-8538"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "2014015093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "4177742112",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Nicole McNew, LMSW
• Rebecca Meadows
• Rebecca Mercurio, LCSW
• Mercy Pharmacy Services LLC (Mercy Pharmacy Mackenzie)
• Michael B. Stotler MD PC
• Miriam Learning Center
• Missouri CVS Pharmacy LLC (CVS Pharmacy #02363)
• Missouri CVS Pharmacy, L.L.C. (CVS Pharmacy #18024)
• Ai Ling Moore, MSW, LCSW
• Cody Nicholas Moore, DPT

• Physical Therapy Clinic/Center in Webster Groves, MO
• Providers in Webster Groves, MO by specialty
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.