Individual provider Active NPI

Gabrielle Marie Ryerson, DPT

  • Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1467024646
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2021027345 Issued in MO
Practice address
12639 Old Tesson Rd
Saint Louis, MO 63128-2711
Phone
(314) 849-0311
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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 2021027345 MO Primary

Addresses

Primary practice location

12639 Old Tesson Rd
Saint Louis, MO 63128-2711

Mailing address

903 Wynhaven LN
Ballwin, MO 63011-2937
Phone (314) 707-1042

Other practice location 1

9437 Olive Blvd
Olivette, MO 63132-3130
Phone (314) 989-9500

Other practice location 2

1895 Richardson Rd
Arnold, MO 63010-3929
Phone (314) 756-2800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gabrielle.smith@direct.signature.nextgenshare.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211026000624 MO Practitioner - Physical Therapist in Private Practice 9638567597 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Signature Medical Group IncGroup PAC ID 4880598291, 40 clinicians

Practice addresses (Care Compare)

12639 Old Tesson Rd
Suite 115
Saint Louis, MO 63128-2786
Phone 31484903112384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Medical Group, Inc CurrentSince Dec 1, 2023 Accepting new patients
Signature Medical Group, Inc CurrentSince Dec 1, 2023 Accepting new patients
Atr Hand Therapy LLC Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients

Locations

1895 Richardson Rd
Arnold, MO 63010
Phone (314) 756-2800

1391 Smizer Mill Rd
Ste 100
Fenton, MO 63026
Phone (314) 434-6060

12639 Old Tesson Rd
Ste 115
Saint Louis, MO 63128
Phone (314) 842-8655

12639 Old Tesson Rd
Saint Louis, MO 63128
Phone (314) 446-0291

12639 Old Tesson Rd
Ste 120
Saint Louis, MO 63128
Phone (314) 842-3968

14515 North Outer 40 Rd
Ste 110
Town and Country, MO 63017
Phone (314) 434-6060

Interoperability endpoints

  • Direct secure messaging: gabrielle.ryerson@direct.signature.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1467024646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 WYNHAVEN LN",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112937",
            "telephone_number": "314-707-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12639 OLD TESSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282711",
            "telephone_number": "314-849-0311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9437 Olive Blvd",
            "address_purpose": "LOCATION",
            "city": "Olivette",
            "state": "MO",
            "postal_code": "631323130",
            "country_code": "US",
            "telephone_number": "314-989-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1895 Richardson Rd",
            "address_purpose": "LOCATION",
            "city": "Arnold",
            "state": "MO",
            "postal_code": "630103929",
            "country_code": "US",
            "telephone_number": "314-756-2800",
            "fax_number": "314-756-2801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYERSON",
        "first_name": "GABRIELLE",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2021027345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gabrielle.smith@direct.signature.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "12639 Old Tesson Rd",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631282711",
            "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 Aug 19, 2025; 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.