NPIMap

Organization Active NPI

Eureka Physical Therapy

  • Physical Therapist
  • Eureka, MO
National Provider Identifier
1427272434
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
R0728 Issued in MO
Legal business name
EUREKA PHYSICAL THERAPY
Doing business as
Eureka Physical Therapy
Practice address
429 Meramec Blvd.
Eureka, MO 63025-1108
Phone
(636) 938-9373
Fax
(636) 938-9373
NPI assigned
Apr 12, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mrs. Kim Marie Miller, PTNPI 1285640854
Title
President
Phone
(636) 938-9373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X R0728 MO Primary

Addresses

Primary practice location

429 Meramec Blvd.
Eureka, MO 63025-1108

Mailing address

429 Meramec Blvd
Eureka, MO 63025-3906
Phone (636) 938-9373

Other identifiers 5

IdentifierTypeStateIssuer
124158OtherMOHEALTHLINK
320062OtherMOHEALTH PARTNERS
6400127OtherMOUNITED HEALTH CARE
127499OtherMOBLUE CROSS BLUE SHIELD
6400127OtherMOMEDICARE COMPLETE

Other names 1

  • Eureka Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

113 Hilltop Village Center Dr
Ste B
Eureka, MO 63025
Phone (636) 938-9373

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1427272434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 MERAMEC BLVD",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630253906",
            "telephone_number": "636-938-9373",
            "fax_number": "636-938-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 MERAMEC BLVD.",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251108",
            "telephone_number": "636-938-9373",
            "fax_number": "636-938-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUREKA PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-938-9373",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "R0728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "124158",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "320062",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "6400127",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "127499",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE COMPLETE",
            "identifier": "6400127",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eureka Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eureka, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.