Mary S Elsea, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

01436 Issued in MO

Practice address

11709 Old Ballas Road Ste 205
Amato Physcial Therapy
St Louis, MO 63141-7076

Phone

(314) 991-0483

Fax

(314) 991-0487

NPI assigned

Sep 12, 2011

Sex

Female

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)

Enrolled

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1588946909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11709 OLD BALLAS ROAD STE 205",
            "address_2": "AMATO PHYSCIAL THERAPY",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631417076",
            "telephone_number": "314-991-0483",
            "fax_number": "314-991-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11709 OLD BALLAS ROAD STE 205",
            "address_2": "AMATO PHYSCIAL THERAPY",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631417076",
            "telephone_number": "314-991-0483",
            "fax_number": "314-991-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSEA",
        "first_name": "MARY",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "01436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noel Marie Elrod, PHD
• Omar Hani Elsayed-Ali, MD
• Dina Elsayed
• Nourhan Elsayed, PHD
• Elizabeth Elsberg, LCSW
• Janice Elsenraat
• Rand Raed Fuad Elsharaiha, MD
• Ibrahim Magdi Elsharkawi, MD
• Elharith Elsiddig, MD
• Hassan Dawoud Elsiddig, M.D.

• Physical Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.