Active NPI
Sumeet Aggarwal, DPT
- Physical Therapist
- Chesterfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2016023770
- Practice address
- 14825 N Outer 40 Rd
Chesterfield, MO 63017-2152 - Phone
- (636) 812-1211
- Fax
- (636) 812-0159
- NPI assigned
- Aug 26, 2008
- Sex
- Male
- Sole proprietor
- No
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
- Liberty, MO
- NPI 1114449857
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athletico LTD
Practice addresses (Care Compare)
107 Progress Pkwy
Sullivan, MO 63080-2359
Phone (573) 860-5901
1832 Wentzville Pkwy
Wentzville, MO 63385-3817
Phone (636) 327-7110
20 Gravois Sta
House Springs, MO 63051-4348
Phone (636) 375-3300
2007 W Foxwood Dr
Suite D
Raymore, MO 64083-9589
Phone (816) 265-8116
217 E 5TH St
Eureka, MO 63025-1223
Phone (636) 549-0151
4004 Peach CT
Suite H
Columbia, MO 65203-3800
Phone (573) 256-8100
603 S Bishop Ave
Suite B
Rolla, MO 65401-4320
Phone (573) 202-6537
6309 Ronald Reagan Dr
Lake St Louis, MO 63367-2681
Phone (636) 755-4566
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160815002748 | MO | Practitioner - Physical Therapist in Private Practice | 2264698638 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-016647 | IL | MD | Physical Therapist |
| 2016023770 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
Locations
625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250
2136 William St
Ste 115
Cape Girardeau, MO 63703
Phone (573) 826-4033
14825 North Outer 40 Rd
Ste 300
Chesterfield, MO 63017
Phone (636) 581-2121
229 S Stewart Rd
Ste E3
Liberty, MO 64068
Phone (816) 656-3695
951 Waterbury Falls Dr
O Fallon, MO 63368
Phone (636) 336-0300
2007 W Foxwood Dr
Ste D
Raymore, MO 64083
Phone (816) 265-8116
107 Concord Plaza Shopping Ctr
Saint Louis, MO 63128
Phone (314) 842-2990
1832 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-7110
Interoperability endpoints
- sumeet.aggarwal.p2@direct.athleticoltd.nextgenshare.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-016647 | IL | |
| Physical Therapist | 225100000X | 2016023770 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
14825 N Outer 40 Rd
Chesterfield, MO 63017-2152
Mailing address
625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-1980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2016.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468195200000",
"number": "1619124229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 ENTERPRISE DR",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605238813",
"telephone_number": "630-575-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14825 N OUTER 40 RD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630172152",
"telephone_number": "636-812-1211",
"fax_number": "636-812-0159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGGARWAL",
"first_name": "SUMEET",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-26",
"last_updated": "2016-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-016647",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2016023770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.