Active NPI
Erica Wagner, DPT
- Physical Therapist
- Saint Peters, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2022029717
- Practice address
- 3899 Veterans Memorial Pkwy
Saint Peters, MO 63376-6425 - Phone
- (636) 922-9933
- Fax
- (636) 922-9466
- NPI assigned
- Aug 1, 2022
- Last updated
- Jul 1, 2026
- 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 | 2022029717 | MO | Primary |
Addresses
Primary practice location
3899 Veterans Memorial Pkwy
Saint Peters, MO 63376-6425
Mailing address
14515 N Outer 40 Rd Ste 110
Chesterfield, MO 63017-5746
Phone (314) 434-8680
Other practice location 1
5869 Suemandy Dr
Saint Peters, MO 63376-4327
Phone (636) 204-3080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3899 Veterans Memorial Pkwy
Suite A2
Saint Peters, MO 63376-6425
Phone (636) 922-9933
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022029717 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atr Jeff LLC | Physical Therapist | Current | Accepting new patients |
Locations
3899 Veterans Memorial Pkwy
Ste A2
Saint Peters, MO 63376
Phone (636) 922-9933
5869 Suemandy Dr
Saint Peters, MO 63376
Phone (636) 204-3080
14515 North Outer 40 Rd
Ste 110
Town and Country, MO 63017
Phone (314) 434-6060
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, 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": "1659312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1437885449",
"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",
"fax_number": "314-453-9985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3899 VETERANS MEMORIAL PKWY",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633766425",
"telephone_number": "636-922-9933",
"fax_number": "636-922-9466"
}
],
"practiceLocations": [
{
"address_1": "5869 Suemandy Dr",
"address_purpose": "LOCATION",
"city": "Saint Peters",
"state": "MO",
"postal_code": "633764327",
"country_code": "US",
"telephone_number": "636-204-3080",
"fax_number": "636-204-3083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAGNER",
"first_name": "ERICA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-01",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2022029717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Peters, MO
- Theresa A Votinelli, R.N.
- Voyager Group, Inc (Physicians Pain Clinic)
- Stephanie Renee' Vunck, M.A CF-SLP
- Vvasudevan LLC
- Hannah Elizabeth Wade, BCBA, LBA
- Seth Allen Wagner, PHARMD
- Hunter Wagoner, PLPC
- Sydney Wahl, DMD
- Wal-Mart Stores East LP (Walmart Pharmacy 10-5421)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0648)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.