Individual provider Active NPI

Erica Wagner, DPT

  • Physical Therapist
  • Saint Peters, MO
National Provider Identifier
1437885449
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2022029717 Issued in MO
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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 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

Enrollment IDStateProvider typePAC IDDetails
I20220808001971 MO Practitioner - Physical Therapist in Private Practice 4183006158 Reassigns benefits to 1 organization

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
Atr-Jeff LLCGroup PAC ID 9830412469, 4 clinicians

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

LicenseStateTypeSpecialty
2022029717MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atr Jeff LLC Physical Therapist CurrentSince Jul 28, 2022 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

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.

Verify at the official NPI Registry.