Fenton Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FENTON PHYSICAL THERAPY

Practice address

400 Biltmore Dr
Suite 403
Fenton, MO 63026-4641

Phone

(636) 343-0350

Fax

(636) 343-3519

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gary E. Meier, P.T.NPI 1649223678

Title

Director of Clinic and P.T.

Phone

(636) 343-0350

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary E. Meier, P.T.

  • Physical Therapist
  • Fenton, MO
  • NPI 1649223678
  NPD (past) Authorized official
• Sarah Peniston, MPT

  • Physical Therapist
  • Saint Louis, MO
  • NPI 1134458730
  NPD (past)
• Christopher J. Tabor, P.T.

  • Orthopedic Physical Therapist
  • Saint Louis, MO
  • NPI 1164479994

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629022256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BILTMORE DR",
            "address_2": "SUITE 403",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630264641",
            "telephone_number": "636-343-0350",
            "fax_number": "636-343-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BILTMORE DR",
            "address_2": "SUITE 403",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630264641",
            "telephone_number": "636-343-0350",
            "fax_number": "636-343-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENTON PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEIER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR OF CLINIC AND P.T.",
        "authorized_official_telephone_number": "636-343-0350",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fenton Family Eyecare, LLC
• Fenton Family Physicians, LLC
• Fenton Family Practice, LLC
• Fenton Fire Protection District
• Fenton Pediatrics, L.L.C.
• Isabel Fernandez-Holtzman, MD
• Lynn Fey, DC
• Fieser Nursing Center LLC
• Alexandra Marie Fincher
• First Stop Chiropractic LLC

• All providers in Fenton, MO
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.