O'Fallon Physical Therapy and Rehabilitation

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2002018241 Issued in MO

Legal business name

O'FALLON PHYSICAL THERAPY AND REHABILITATION

Practice address

226 THF Blvd.
Number 403
Chesterfield, MO 63017

Phone

(314) 469-9843

Fax

(314) 439-5154

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Richard S Culligan, DC

Title

Owner

Phone

(314) 469-9843

Specialties & licenses 2

Addresses

Other names 1

• O'Fallon PT and Rehab Other name

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447478391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 THF BLVD.",
            "address_2": "NUMBER 403",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "314-469-9843",
            "fax_number": "314-439-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 THF BLVD.",
            "address_2": "NUMBER 403",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "314-469-9843",
            "fax_number": "314-439-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'FALLON PHYSICAL THERAPY AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CULLIGAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-469-9843",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2004007615",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2002018241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "O'Fallon PT and Rehab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Elizabeth Susan O Brien, MD
• Crystal O'Brien
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• Valorie J O'Mara, ANP
• Oasl 2 LLC
• Jill Oberle, MD

• Physical Therapist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.