Individual provider Active NPI

Olivia Kalbac, DPT

  • Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1417780230
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2024033907 Issued in MO
Practice address
4044 Butler Hill Rd
Saint Louis, MO 63129-1500
Phone
(314) 487-6644
NPI assigned
Aug 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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 2024033907 MO Primary

Addresses

Primary practice location

4044 Butler Hill Rd
Saint Louis, MO 63129-1500

Mailing address

14515 N Outer 40 Rd Ste 110
Chesterfield, MO 63017-5746
Phone (314) 434-8680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240920001293 MO Practitioner - Physical Therapist in Private Practice 7810438652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atr Hand Therapy LLCGroup PAC ID 7517054919, 7 clinicians

Practice addresses (Care Compare)

3860 Vogel Rd
Arnold, MO 63010-3776
Phone (636) 287-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024033907MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atr Hand Therapy LLC Physical Therapist CurrentSince Aug 18, 2025 Accepting new patients
Advanced Training and Rehab LLC Physical Therapist CurrentSince Aug 20, 2024 Accepting new patients

Locations

3860 Vogel Rd
Arnold, MO 63010
Phone (636) 287-3000

1391 Smizer Mill Rd
Ste 100
Fenton, MO 63026
Phone (314) 434-6060

333 S Kirkwood Rd
Ste 201
Saint Louis, MO 63122
Phone (314) 909-0517

4044 Butler Hill Rd
Saint Louis, MO 63129
Phone (314) 487-6644

14515 North Outer 40 Rd
Ste 110
Town and Country, MO 63017
Phone (314) 434-6060

Organizations & group practices 2

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": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1417780230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14515 N OUTER 40 RD STE 110",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175746",
            "telephone_number": "314-434-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4044 BUTLER HILL RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631291500",
            "telephone_number": "314-487-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALBAC",
        "first_name": "OLIVIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2024033907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.