NPIMap

Axes Physical Therapy, LLC

Organization Active NPI Prosthetic/Orthotic Supplier · O Fallon, MO

NPI 1508330994 · NPPES record last updated Jan 18, 2019

Key facts

NPI
1508330994
Entity type
Organization (NPI type 2)
Primary specialty
Prosthetic/Orthotic Supplier 335E00000X
Legal business name
AXES PHYSICAL THERAPY, LLC
Practice address
4273 Keaton Crossing Blvd
O Fallon, MO 63368-8220
Phone
(636) 206-6540
NPI assigned
Jan 18, 2019
Organization subpart
No

Authorized official

Name
John Teepe
Title
Member/Authorized Official
Phone
(314) 764-2230

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 10

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

Practitioners 112

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

View all 112

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190326002658 MO DME Supplier - Independently-Practicing Physical Therapist 3375840028 Practice locations: O Fallon, MO

National Provider Directory

Tax ID family
Axes Physical Therapy LLC (11 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Yes

Addresses

Primary practice location

4273 Keaton Crossing Blvd
O Fallon, MO 63368-8220

Mailing address

4273 Keaton Crossing Blvd
O Fallon, MO 63368-8220
Phone (636) 206-6540

Other names

  • Axes Physical Therapy Doing business as

Other providers in O Fallon, MO

All providers in O Fallon, MO · Prosthetic/Orthotic Supplier in Missouri

Sources for this page

Verify at the official NPI Registry.