Individual provider Active NPI

Alfonso L Amato, P.T.

  • Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1447396908
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12 Issued in MO
Practice address
11709 Old Ballas Rd
Suite 205
Saint Louis, MO 63141-7029
Phone
(314) 991-0480
Fax
(314) 991-0487
NPI assigned
Jan 30, 2007
Last updated
Dec 31, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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 12 MO Primary

Addresses

Primary practice location

11709 Old Ballas Rd
Suite 205
Saint Louis, MO 63141-7029

Mailing address

132 Ambleside LN
Saint Louis, MO 63141-7437
Phone (314) 878-3970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Babar Enterprises LLC Physical Therapist PastSince Jun 3, 2019 Accepting new patients
Amato Physical Therapy Associates, LLC Physical Therapist PastSince Aug 24, 2011 Accepting new patients
FLS Physical Therapy Associates PC Physical Therapist PastSince Jul 31, 1994 Accepting new patients

Organizations & group practices 3

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1447396908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 AMBLESIDE LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417437",
            "telephone_number": "314-878-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11709 OLD BALLAS RD",
            "address_2": "SUITE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417029",
            "telephone_number": "314-991-0480",
            "fax_number": "314-991-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMATO",
        "first_name": "ALFONSO",
        "middle_name": "L",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "12",
            "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 Dec 31, 2007; 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.