NPIMap

Organization Active NPI

CVPT-Olivette, LLC

Doing business as St. Louis Physical Therapy

  • Physical Therapy Clinic/Center
  • Olivette, MO
National Provider Identifier
1457464323
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
103326 Issued in MO
Legal business name
CVPT-OLIVETTE, LLC
Doing business as
St. Louis Physical Therapy
Practice address
9437 Olive Blvd
Olivette, MO 63132-3130
Phone
(636) 728-1777
Fax
(636) 728-1793
NPI assigned
Aug 16, 2006
Last updated
Nov 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Authorized official

Name
Mr. Michael J Gorman, PT, MOMTNPI 1790718930
Title
Owner
Phone
(636) 728-1777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 103326 MO Primary

Addresses

Primary practice location

9437 Olive Blvd
Olivette, MO 63132-3130

Mailing address

17300 N Outer 40
Suite 205
Chesterfield, MO 63005-1364
Phone (636) 728-1777

Other names 1

  • St. Louis Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2558 Gladiator Dr
Fenton, MO 63026
Phone (314) 434-6060

443 Lynn Haven Ln
Hazelwood, MO 63042
Phone (314) 395-9303

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1457464323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 N OUTER 40",
            "address_2": "SUITE 205",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051364",
            "telephone_number": "636-728-1777",
            "fax_number": "636-728-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9437 OLIVE BLVD",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631323130",
            "telephone_number": "636-728-1777",
            "fax_number": "636-728-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVPT-OLIVETTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-728-1777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, MOMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "103326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Louis Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olivette, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.