Nathan Alan Place, A.T.,C.

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

113476 Issued in MO

Practice address

3451 Pheasant Meadow Dr
O Fallon, MO 63368-7324

Phone

(636) 379-0092

Fax

(636) 978-8299

NPI assigned

Dec 29, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558348789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 QUIVER DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633663721",
            "telephone_number": "636-272-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 PHEASANT MEADOW DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687324",
            "telephone_number": "636-379-0092",
            "fax_number": "636-978-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLACE",
        "first_name": "NATHAN",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "A.T.,C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "MO",
            "license": "113476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Pickrell, OTR/L
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• Peter Pinkerton
• Grace Spencer Pipkins
• John Wayne Platt, MA MSW
• Play All Day Pediatric Therapy LLC
• Jennifer A. Plessner, D.D.S.
• Gwenda Marie Plummer, LPC
• Jessica Plut, P.T.

• Rehabilitation Practitioner in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Rehabilitation Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.