Active NPI
Anthony Duvergel
- Physical Therapist
- Freeburg, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2023038579
- Practice address
- 251 Marketplace Dr # 2
Freeburg, IL 62243-4082 - Phone
- (618) 539-5900
- NPI assigned
- Sep 25, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 2023038579 | MO | Primary |
Addresses
Primary practice location
251 Marketplace Dr # 2
Freeburg, IL 62243-4082
Mailing address
7563 Clayton Rd Apt 302
Saint Louis, MO 63117-1442
Phone (314) 809-4033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231005001412 | MO | Practitioner - Physical Therapist in Private Practice | 7618322082 | Reassigns benefits to 1 organization |
| I20240101000079 | IL | Practitioner - Physical Therapist in Private Practice | 7618322082 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apex Physical Therapy, LLC
Practice addresses (Care Compare)
13732 Olive Blvd
Chesterfield, MO 63017-2602
Phone (314) 786-5643
251 Marketplace Dr
Suite 2
Freeburg, IL 62243-4082
Phone (618) 539-5900
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.03 of 100
- Quality
- 74.47
- Improvement activities
- 40
- Cost
- 66.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023038579 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Apex Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Apex Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1350 Grand Ave
Beardstown, IL 62618
Phone (217) 350-0361
144 Lincoln Place Ct
Ste 1
Belleville, IL 62221
Phone (618) 233-5163
251 Marketplace Dr
#2
Freeburg, IL 62243
Phone (618) 539-5900
15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482
884 Woods Mill Rd
Ste 200
Ballwin, MO 63011
Phone (636) 238-4910
13732 Olive Blvd
Chesterfield, MO 63017
Phone (314) 786-5643
4500 Telegraph Rd
Ste 204
Saint Louis, MO 63129
Phone (314) 487-1204
10435 Clayton Rd
Ste 10
Saint Louis, MO 63131
Phone (314) 442-6249
4590 S Lindbergh Blvd
Ste 102
Saint Louis, MO 63127
Phone (314) 200-4903
3322 S National Ave
Springfield, MO 65807
Phone (417) 881-9333
8567 Watson Rd
Ste C
Webster Groves, MO 63119
Phone (314) 732-1553
Organizations & group practices 8
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 Therapy Clinic/Center
- Ballwin, MO
- NPI 1295929644
MO, Physical Therapist
-
- Physical Therapy Clinic/Center
- Centerton, AR
- NPI 1710732607
Physical Therapist
-
- Physical Therapy Clinic/Center
- Glen Carbon, IL
- NPI 1376590307
-
- Physical Therapy Clinic/Center
- Frenchburg, KY
- NPI 1447795554
-
- Multi-Specialty Clinic/Center
- Vail, AZ
- NPI 1457845273
-
- Physical Therapy Clinic/Center
- Greenacres, FL
- NPI 1568971901
-
- Physical Therapy Clinic/Center
- Port Isabel, TX
- NPI 1710522032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1679352249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7563 CLAYTON RD APT 302",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171442",
"telephone_number": "314-809-4033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 MARKETPLACE DR # 2",
"city": "FREEBURG",
"state": "IL",
"postal_code": "622434082",
"telephone_number": "618-539-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUVERGEL",
"first_name": "ANTHONY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-25",
"last_updated": "2023-09-25",
"certification_date": "2023-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2023038579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freeburg, IL
- Community Living Options Inc
- Complete Family Chiropractic & Wellness LLC
- Counseling Center of Southwestern Illinois Inc
- Raymond Danford, RPH
- Tracey Lynn Drennen-Alexander, D.C.
- Gayla Renea Fields, M.S., LCPC
- Freeburg Care Center Inc
- Freeburg Care Center Inc
- Freeburg Community Consolidated School Dist. No. 70
- Freeburg Community High School
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.