NPIMap

Organization Active NPI

St. Charles Sports&Physical Therapy, Inc.

  • Prosthetic/Orthotic Supplier
  • Wentzville, MO
National Provider Identifier
1467655118
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ST. CHARLES SPORTS&PHYSICAL THERAPY, INC.
Practice address
1155 Wentzville Pkwy
Ste 123
Wentzville, MO 63385-3476
Phone
(636) 332-1313
Fax
(636) 332-2929
NPI assigned
Jun 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Monika Wilson
Title
Business Director
Phone
(636) 240-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X MO Primary

Addresses

Primary practice location

1155 Wentzville Pkwy
Ste 123
Wentzville, MO 63385-3476

Mailing address

939 Highway K
O Fallon, MO 63366-2910
Phone (636) 240-7000

National Provider Directory

National Provider Directory
Tax ID family
St Charles Sportsphysical Therapy Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467655118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662910",
            "telephone_number": "636-240-7000",
            "fax_number": "636-240-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 WENTZVILLE PKWY",
            "address_2": "STE 123",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853476",
            "telephone_number": "636-332-1313",
            "fax_number": "636-332-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHARLES SPORTS&PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "636-240-7000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

  • 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.