Erin Kathleen Bednarek, P.T.
Individual provider Active NPI Physical Therapist · Bridgeton, MO
NPI 1487961868 · NPPES record last updated Sep 8, 2010
Key facts
- NPI
- 1487961868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 106406 (MO)
- Practice address
- 12266 Depaul Drive
Suite 115
Bridgeton, MO 63044-2588 - Phone
- (314) 209-7700
- Fax
- (314) 209-7705
- NPI assigned
- Sep 8, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106406 | MO | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 106406 | MO | Yes |
Addresses
Primary practice location
12266 Depaul Drive
Suite 115
Bridgeton, MO 63044-2588
Mailing address
12266 Depaul Drive
Suite 115
Bridgeton, MO 63044-2588
Phone (314) 209-7700
Other providers in Bridgeton, MO
- Joshua Beane
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- Yolanda Renitia Beck
- Nicole Becker
- Caroline Marie Bedel
- Gary Behrens
- Diane Renee Beilke
- Bel Oak of Mark Twain, LLC
- Bell Dental Maryland Heights
- Christiney Bell
All providers in Bridgeton, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.