Joan Durbin, RPT
Individual provider Active NPI Physical Therapist · O'Fallon, MO
NPI 1548582604 · NPPES record last updated Feb 17, 2010
Key facts
- NPI
- 1548582604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 00122 (MO)
- Practice address
- 700 Hawk Rundrive
O'Fallon, MO 63368 - Phone
- (314) 560-8191
- NPI assigned
- Feb 17, 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 |
|---|---|---|---|
| 00122 | MO | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 00122 | MO | Yes |
Addresses
Primary practice location
700 Hawk Rundrive
O'Fallon, MO 63368
Mailing address
700 Hawk Rundrive
O'Fallon, MO 63368
Other providers in O'Fallon, MO
- Shannon Michele Cline
- Julie Louise Crane
- Dardenne Dental Arts
- Kevin Daugherty
- Mark Jeffrey Dolson
- Endocrine Consultatns, LLC
- Michael E Engel
- Erin Corsi Fraundorf
- Darla J Freiner
- Louis Gaefke
All providers in O'Fallon, 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 Feb 17, 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.