Individual provider Active NPI

Pamela Abbott, PT, DPT, OCS

  • Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1447405055
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2005004580 Issued in MO
Practice address
3530 Laclede Ave
Marchetti Towers West
Saint Louis, MO 63103-2011
Phone
(314) 977-7419
Fax
(314) 977-2070
NPI assigned
Nov 24, 2008
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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 2005004580 MO Primary

Addresses

Primary practice location

3530 Laclede Ave
Marchetti Towers West
Saint Louis, MO 63103-2011

Mailing address

3530 Laclede Ave
Marchetti Towers West
Saint Louis, MO 63103-2011
Phone (314) 977-7419

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other
Direct Messaging Address pabbott236239@direct-ehr-ssmhc.com Direct

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
2005004580MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care Group CurrentSince Jul 1, 2022 Accepting new patients
SSM Health Care Group CurrentSince Jul 1, 2022 Accepting new patients

Locations

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

3518 Laclede Ave
Saint Louis, MO 63103
Phone (314) 977-2323

3530 Laclede Ave
Saint Louis, MO 63103
Phone (314) 977-2070

3691 Rutger St
Saint Louis, MO 63110
Phone (314) 268-4101

Interoperability endpoints

  • Direct secure messaging: pabbott236239@direct-ehr-ssmhc.com

Organizations & group practices 2

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": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1447405055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 LACLEDE AVE",
            "address_2": "MARCHETTI TOWERS WEST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631032011",
            "telephone_number": "314-977-7419",
            "fax_number": "314-977-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 LACLEDE AVE",
            "address_2": "MARCHETTI TOWERS WEST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631032011",
            "telephone_number": "314-977-7419",
            "fax_number": "314-977-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "PAMELA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2005004580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "3530 Laclede Ave",
            "address_2": "Marchetti Towers West",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631032011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pabbott236239@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "endpointDescription": "SLU PT /Student Health and Counseling",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pabbott236239@direct-ehr-ssmhc.com",
            "address_1": "3530 Laclede Ave",
            "address_2": "Marchetti Towers West",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631032011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 21, 2021; 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.