Organization Active NPI

Sports Movement Physical. Therapy LLC

  • Physical Therapy Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1558067926
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SPORTS MOVEMENT PHYSICAL. THERAPY LLC
Practice address
10042 Manchester Rd
Saint Louis, MO 63122-1827
Phone
(530) 736-1903
NPI assigned
Feb 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

Name
Carolyn Meister, DPTNPI 1639526486
Title
Physical Therapist
Phone
(530) 736-1903

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

10042 Manchester Rd
Saint Louis, MO 63122-1827

Mailing address

1408 Crystal Pointe Cir
Saint Louis, MO 63146-4948

National Provider Directory

National Provider Directory

Locations

10042 Manchester Rd
Saint Louis, MO 63122
Phone (530) 736-1903

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1558067926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 CRYSTAL POINTE CIR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10042 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631221827",
            "telephone_number": "530-736-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MOVEMENT PHYSICAL. THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "MEISTER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "530-736-1903",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.