O'Fallon Therapy Services, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2004007615 Issued in MO

Legal business name

O'FALLON THERAPY SERVICES, LLC

Practice address

1601 Bryan Rd
O Fallon, MO 63368-4815

Phone

(618) 979-8660

NPI assigned

Jul 23, 2007

Organization subpart

Yes

Parent organization

CZVS HOLDING LLCAs reported in NPPES

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

Authorized official

Name

Dr. Sean M Toner, D.C.

Title

Manager

Phone

(618) 979-8660

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1700086287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 HIGHWAY K # 639",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688696",
            "telephone_number": "636-474-2273",
            "fax_number": "636-474-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 BRYAN RD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633684815",
            "telephone_number": "618-979-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'FALLON THERAPY SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CZVS HOLDING LLC",
        "enumeration_date": "2007-07-23",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "TONER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "618-979-8660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2004007615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• O'Fallon Pain Center
• O'Fallon Pain Relief Associates LLC
• O'Fallon Pharmacy, LLC (Cardinal Pharmacy)
• O'Fallon Physician Services, LLC
• Obasi Nursing Services, Inc
• Nmaju Azu Obasi
• Jeffery Robert Oberle Sr., LPC
• Margaret Erin Obrien, CF-SLP
• Regis Ketter Ocampos Goad

• Physical Therapist in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.