Amy L Vacek, MPT, CERT. MDT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2001005033 Issued in MO

Practice address

722 N Highway 47 Ste a
Warrenton, MO 63383-1108

Phone

(636) 456-8883

Fax

(636) 456-8854

NPI assigned

Nov 17, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• SSM Select Rehab St Louis LLC

  • Physical Medicine & Rehabilitation Physician
  • Richmond Heights, MO
  • NPI 1558403261
  NPD (past)

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1679800353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 N HIGHWAY 47 STE A",
            "city": "WARRENTON",
            "state": "MO",
            "postal_code": "633831108",
            "telephone_number": "636-456-8883",
            "fax_number": "636-456-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 N HIGHWAY 47 STE A",
            "city": "WARRENTON",
            "state": "MO",
            "postal_code": "633831108",
            "telephone_number": "636-456-8883",
            "fax_number": "636-456-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACEK",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MPT, CERT. MDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2001005033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Thomas, PHARMD
• Carol A Thompson, PT
• Kelsey Spencer Tobler Cardenas, D.C.
• Hannah Claire Tolley
• Alexander Myles Turner, LCSW
• Alyssa M Vinzon, DPT
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Lisa Waltrip, LPC

• Physical Therapist in Warrenton, MO
• Providers in Warrenton, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.