Individual provider Active NPI

Christopher Scott Thaller, PT, DPT

  • Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1558978403
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2020027482 Issued in MO
Practice address
8837 Powell Ave
Saint Louis, MO 63144-2231
Phone
(314) 402-6614
NPI assigned
Sep 24, 2020
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2020027482 MO Primary

Addresses

Primary practice location

8837 Powell Ave
Saint Louis, MO 63144-2231

Mailing address

8837 Powell Ave
Saint Louis, MO 63144-2231
Phone (314) 402-6614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201015000422 MO Practitioner - Physical Therapist in Private Practice 4688094519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Washington University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smart Rehab, LLCGroup PAC ID 1759668643, 23 clinicians

Practice addresses (Care Compare)

524 S Crescent Dr
Kirkwood, MO 63122-4629
Phone (314) 686-1309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Rehab, LLC Physical Therapist CurrentSince Jul 2, 2025 Accepting new patients
STL Premier Home Physical Therapy LLC Physical Therapist CurrentSince Sep 1, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1558978403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8837 POWELL AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631442231",
            "telephone_number": "314-402-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8837 POWELL AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631442231",
            "telephone_number": "314-402-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THALLER",
        "first_name": "CHRISTOPHER",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-24",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2020027482",
            "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 Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.