NPIMap

Organization Active NPI

St. John's Mercy Medical Center

  • Physical Therapy Clinic/Center
  • Hazelwood, MO
National Provider Identifier
1689877896
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1999137877 Issued in MO
Legal business name
ST. JOHN'S MERCY MEDICAL CENTER
Practice address
801 Hazelwest Dr Ste 200
Hazelwood, MO 63042-1754
Phone
(314) 919-2727
NPI assigned
Jun 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Rhea Henderson, PTA
Title
Physical Therapist Assistant
Phone
(314) 919-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1999137877 MO Primary

Addresses

Primary practice location

801 Hazelwest Dr Ste 200
Hazelwood, MO 63042-1754

Mailing address

1185 Saint Matthew Dr
Florissant, MO 63031-7740

National Provider Directory

National Provider Directory
Tax ID family
Mercy Hospitals East Communities Mercy Hospital St Louis15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

801 Hazelwest Dr
Ste 200
Hazelwood, MO 63042
Phone (314) 919-2727

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689877896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 SAINT MATTHEW DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630317740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HAZELWEST DR STE 200",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421754",
            "telephone_number": "314-919-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S MERCY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "RHEA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "314-919-2727",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "1999137877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazelwood, MO

Sources for this page

  • 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.