Active NPI
Stacey Biles, PTA
- Physical Therapy Assistant
- Saint Peters, MO
National Provider Identifier
1538574751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2014024446
- Practice address
- 5200 Executive Centre Pkwy Ste 200
Saint Peters, MO 63376-3394 - Phone
- (636) 255-8750
- NPI assigned
- Jun 26, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2014020014 | MO | |
| Physical Therapy Assistant | 225200000X | 2014024446 | MO | Primary |
Addresses
Primary practice location
5200 Executive Centre Pkwy Ste 200
Saint Peters, MO 63376-3394
Mailing address
4273 Keaton Crossing Blvd
O Fallon, MO 63368-8220
Phone (636) 206-6540
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014020014 | MO | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axes Physical Therapy, LLC | Past | Accepting new patients | |
| Axes Physical Therapy, LLC | Past | Accepting new patients |
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.
-
dba Axes Physical Therapy
- Physical Therapy Clinic/Center
- O'Fallon, MO
- NPI 1003280421
-
dba Axes Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Creve Coeur, MO
- NPI 1699530931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1538574751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4273 KEATON CROSSING BLVD",
"city": "O FALLON",
"state": "MO",
"postal_code": "633688220",
"telephone_number": "636-206-6540",
"fax_number": "636-422-1051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 EXECUTIVE CENTRE PKWY STE 200",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633763394",
"telephone_number": "636-255-8750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILES",
"first_name": "STACEY",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-26",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MO",
"license": "2014020014",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MO",
"license": "2014024446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.