Individual provider Active NPI

Chris W. Kuebler, MPT,CSCS

  • Physical Therapist
  • Wentzville, MO
National Provider Identifier
1518014976
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2003023398 Issued in MO
Practice address
14 E Main St
Suite 108
Wentzville, MO 63385-1735
Phone
(636) 327-6983
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2003023398 MO Primary

Addresses

Primary practice location

14 E Main St
Suite 108
Wentzville, MO 63385-1735

Mailing address

651 Big Bend Dr
Wentzville, MO 63385-7401
Phone (636) 795-8414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Therapies, LLC Physical Therapist CurrentSince Apr 1, 2012 Accepting new patients
Professional Rehabilitation Services, LLC Single Specialty PastSince Jul 1, 2006 Accepting new patients

Locations

14 E Main St
#108
Wentzville, MO 63385
Phone (636) 327-6983

14 E Main St
Ste 108
Wentzville, MO 63385
Phone (636) 327-6983

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1518014976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 BIG BEND DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633857401",
            "telephone_number": "636-795-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E MAIN ST",
            "address_2": "SUITE 108",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851735",
            "telephone_number": "636-327-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUEBLER",
        "first_name": "CHRIS",
        "middle_name": "W.",
        "credential": "MPT,CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2003023398",
            "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 Apr 16, 2012; 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.