Active NPI
Nick J Livasy, DPT
- Physical Therapist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2018039727
- Practice address
- 4020 Butler Hill Rd
Saint Louis, MO 63129-1500 - Phone
- (314) 487-6644
- NPI assigned
- Nov 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2018039727 | MO | Primary |
Addresses
Primary practice location
4020 Butler Hill Rd
Saint Louis, MO 63129-1500
Mailing address
14515 N Outer 40 Rd Ste 110
Chesterfield, MO 63017-5746
Phone (131) 443-4868
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
- Saint Louis University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
333 S Kirkwood Rd
Suite 201
Kirkwood, MO 63122-6161
Phone (314) 909-4848
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Training and Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Atr Hand Therapy LLC | Physical Therapist | Past | Accepting new patients |
Locations
4020 Butler Hill Rd
Saint Louis, MO 63129
Phone (314) 487-6644
333 S Kirkwood Rd
Ste 201
Saint Louis, MO 63122
Phone (314) 909-0517
14515 North Outer 40 Rd
Ste 110
Town and Country, MO 63017
Phone (314) 434-6060
Organizations & group practices 2
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
- Chesterfield, MO
- NPI 1174576045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541116800000",
"number": "1629546189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14515 N OUTER 40 RD STE 110",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175746",
"telephone_number": "131-443-4868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 BUTLER HILL RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631291500",
"telephone_number": "314-487-6644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVASY",
"first_name": "NICK",
"middle_name": "J",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-02",
"last_updated": "2018-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2018039727",
"primary": true
}
],
"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 Nov 2, 2018; 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.