Active NPI
Alena Pruemer, DPT
- Physical Therapist
- Wentzville, MO
National Provider Identifier
1609340488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2019004000
- Practice address
- 1428 W Meyer Rd
Wentzville, MO 63385-3499 - Phone
- (636) 887-3660
- Fax
- (636) 887-3661
- NPI assigned
- Jan 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2019000121 | MO | |
| Physical Therapist | 225100000X | 2019004000 | MO | Primary |
Addresses
Primary practice location
1428 W Meyer Rd
Wentzville, MO 63385-3499
Mailing address
1428 W Meyer Rd
Wentzville, MO 63385-3499
Phone (636) 887-3660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1428 W Meyer Rd
Wentzville, MO 63385-3499
Phone (636) 887-3660
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019000121 | MO | MD | Physical Therapist |
| 2019004000 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Babar Enterprises LLC | Physical Therapist | Current | Accepting new patients |
Locations
4800 Mexico Rd
Ste 104
Saint Peters, MO 63376
Phone (636) 916-4625
1428 W Meyer Rd
Wentzville, MO 63385
Phone (636) 327-3333
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Creve Coeur, MO
- NPI 1033178827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551830400000",
"number": "1609340488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1428 W MEYER RD",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633853499",
"telephone_number": "636-887-3660",
"fax_number": "636-887-3661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1428 W MEYER RD",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633853499",
"telephone_number": "636-887-3660",
"fax_number": "636-887-3661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUEMER",
"first_name": "ALENA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-15",
"last_updated": "2019-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2019000121",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2019004000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wentzville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.