Active NPI
Robert Jason Hufmann, PTA
- Physical Therapy Assistant
- Saint Louis, MO
National Provider Identifier
1679766877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2007025052
- Practice address
- 3213 Liberty St
Saint Louis, MO 63111-1702 - Phone
- (314) 255-7195
- NPI assigned
- Aug 21, 2007
- 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 Therapy Assistant | 225200000X | 2007025052 | MO | Primary |
Addresses
Primary practice location
3213 Liberty St
Saint Louis, MO 63111-1702
Mailing address
3213 Liberty St
Saint Louis, MO 63111-1702
Phone (314) 255-7195
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2007025052 | MO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187654400000",
"number": "1679766877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3213 LIBERTY ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631111702",
"telephone_number": "314-255-7195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3213 LIBERTY ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631111702",
"telephone_number": "314-255-7195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFMANN",
"first_name": "ROBERT",
"middle_name": "JASON",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-21",
"last_updated": "2007-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MO",
"license": "2007025052",
"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 Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.