Individual provider Active NPI

Joanna Refsland

  • Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1619332194
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01602800 Issued in NJ
Practice address
7 Algonquin Wood
Saint Louis, MO 63122-2013
Phone
(215) 908-4096
NPI assigned
Dec 28, 2015
Last updated
Dec 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01602800 NJ Primary
Physical Therapist 225100000X 1267348 TX

Addresses

Primary practice location

7 Algonquin Wood
Saint Louis, MO 63122-2013

Mailing address

7 Algonquin Wood
Saint Louis, MO 63122-2013
Phone (215) 908-4096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40QA01602800NJMDPhysical Therapist
1267348TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1619332194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ALGONQUIN WOOD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631222013",
            "telephone_number": "215-908-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ALGONQUIN WOOD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631222013",
            "telephone_number": "215-908-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REFSLAND",
        "first_name": "JOANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01602800",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1267348",
            "primary": false
        }
    ],
    "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 Dec 28, 2015; 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.