Superior Healthcare Physical Medicine of West County, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SUPERIOR HEALTHCARE PHYSICAL MEDICINE OF WEST COUNTY, LLC

Practice address

2121 Barrett Station Rd
Saint Louis, MO 63131-1606

Phone

(314) 394-1923

NPI assigned

Nov 2, 2015

Last updated

Mar 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dan Gogliotti, DC

Title

Owner

Phone

(314) 394-1923

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

Locations

Practitioners 5

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.

• Joshua Thomas Beezley, DC

  • Chiropractor
  • Wentzville, MO
  • NPI 1700542669
  Medicare reassignment Care Compare group NPD
• Daniel Gogliotti, D.C.

  • Chiropractor
  • Saint Louis, MO
  • NPI 1962848465
  Medicare reassignment Care Compare group NPD
• Theodore Francis Valley II, DC, BS, LMT

  • Chiropractor
  • Saint Louis, MO
  • NPI 1114474855
  Medicare reassignment Care Compare group NPD
• Victoria J Vondrak, FNP

  • Family Nurse Practitioner
  • Saint Charles, MO
  • NPI 1073285185
  Medicare reassignment NPD
• Christopher McDaniel, DC

  • Chiropractor
  • Tipton, IN
  • NPI 1548938368

  MO

  Medicare reassignment NPD

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1467825224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 BARRETT STATION RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311606",
            "telephone_number": "314-394-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 BARRETT STATION RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311606",
            "telephone_number": "314-394-1923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5650 Mexico Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761696",
            "country_code": "US",
            "telephone_number": "636-875-1270",
            "fax_number": "636-875-1278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUPERIOR HEALTHCARE PHYSICAL MEDICINE OF WEST COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "GOGLIOTTI",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-394-1923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superb Caregivers LLC
• Superb Caregivers LLC
• Superb Caregivers LLC
• Superior Adult Daycare
• Superior Health Plan, Inc.
• Superior Healthcare Services LLC
• Superior Healthplan Community Solutions, Inc.
• Superior Home Health Services
• Superior in Home Services LLC
• Superior Manor of Downtown LLC

• Physical Medicine & Rehabilitation Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Medicine & Rehabilitation Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.