Organization Active NPI

Veterans Medical Massage Vmmllc

  • Preferred Provider Organization
  • Saint Louis, MO
National Provider Identifier
1487426623
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
VETERANS MEDICAL MASSAGE VMMLLC
Practice address
5320 Bischoff Ave
Saint Louis, MO 63110-3122
Phone
(314) 504-2493
NPI assigned
Oct 23, 2023
Organization subpart
Yes
Parent organization
BACK-TO-WORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Gregory Smith, LMTNPI 1326450735
Title
Owner/Manager
Phone
(314) 504-2493

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Rehabilitation Clinic/Center 261QR0400X
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

5320 Bischoff Ave
Saint Louis, MO 63110-3122

Mailing address

5320 Bischoff Ave
Saint Louis, MO 63110-3122
Phone (314) 504-2493

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1487426623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 BISCHOFF AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631103122",
            "telephone_number": "314-504-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 BISCHOFF AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631103122",
            "telephone_number": "314-504-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS MEDICAL MASSAGE VMMLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BACK-TO-WORK",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "314-504-2493",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 23, 2023; 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.