Individual provider Active NPI

Amy Weckherlin

  • Physical Medicine & Rehabilitation Physician
  • Fenton, MO
National Provider Identifier
1437526571
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2000154580 Issued in MO
Practice address
261 Avalon Hills Dr
Fenton, MO 63026-2698
Phone
(636) 225-7471
NPI assigned
Aug 24, 2015
Last updated
Aug 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2000154580 MO Primary

Addresses

Primary practice location

261 Avalon Hills Dr
Fenton, MO 63026-2698

Mailing address

261 Avalon Hills Dr
Fenton, MO 63026-2698
Phone (636) 225-7471

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160607002359 MO Practitioner - Physical Therapist in Private Practice 8022308832 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Saint Louis University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehabsuite IncGroup PAC ID 1254799745, 29 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Kirkwood, MO 63122
Phone (928) 296-9285

15950 Manchester Rd
Ellisville, MO 63011-2170
Phone (636) 220-2748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2000154580MOMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabsuite Inc Physical Therapist CurrentSince May 5, 2025 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince May 6, 2024 Accepting new patients
Legacy Healthcare Services Inc. Physical Therapist CurrentSince May 6, 2024 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Feb 3, 2021 Accepting new patients
Innovative Therapy Initiative Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Feb 3, 2021 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

3623 Crossings Dr
Ste 282
Prescott, AZ 86305
Phone (928) 296-9285

15950 Manchester Rd
Ellisville, MO 63011
Phone (636) 220-2748

1310 Papin St
Ste 109
Saint Louis, MO 63103
Phone (314) 558-1385

1131 E Lakewood St
Springfield, MO 65810
Phone (417) 429-3666

110 Horizon Dr
#310
Raleigh, NC 27615

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1437526571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 AVALON HILLS DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262698",
            "telephone_number": "636-225-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 AVALON HILLS DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262698",
            "telephone_number": "636-225-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WECKHERLIN",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2000154580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.