Active NPI
Kelly A Hollander, P.T.
- Physical Therapist
- Saint Louis, MO
National Provider Identifier
1417182817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 100836
- Practice address
- 439 S Kirkwood Rd
Suite 204
Saint Louis, MO 63122-6169 - Phone
- (314) 822-6297
- Fax
- (314) 822-6298
- NPI assigned
- May 28, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 100836 | MO | Primary |
Addresses
Primary practice location
439 S Kirkwood Rd
Suite 204
Saint Louis, MO 63122-6169
Mailing address
10723 Faraday Dr
Saint Louis, MO 63123-6038
Phone (314) 843-0016
Other names 1
- Miss Kelly A Schmid
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100836 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabcare Group East, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243468800000",
"number": "1417182817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10723 FARADAY DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631236038",
"telephone_number": "314-843-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 S KIRKWOOD RD",
"address_2": "SUITE 204",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631226169",
"telephone_number": "314-822-6297",
"fax_number": "314-822-6298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLANDER",
"first_name": "KELLY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-28",
"last_updated": "2009-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "100836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "SCHMID",
"middle_name": "A",
"prefix": "MISS",
"credential": "P.T.",
"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 May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.