NPIMap

Organization Active NPI

Atr-TC, LLC

Doing business as Advanced Training and Rehab

  • Physical Therapist
  • Chesterfield, MO
National Provider Identifier
1700202165
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ATR-TC, LLC
Doing business as
Advanced Training and Rehab
Practice address
14450 S Outer 40 Rd
Chesterfield, MO 63017-5711
Phone
(314) 434-6060
Fax
(314) 434-6066
NPI assigned
Mar 10, 2014
Last updated
Mar 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Mr. James S Hofman
Title
Managing Member
Phone
(314) 434-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

14450 S Outer 40 Rd
Chesterfield, MO 63017-5711

Mailing address

14450 S Outer 40 Rd
Chesterfield, MO 63017-5711
Phone (314) 434-6060

Other names 1

  • Advanced Training and Rehab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140519000122 MO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8426271529 Receives reassigned benefits from 8 practitioners
Practice locations: Crestwood, MO; Florissant, MO

National Provider Directory

National Provider Directory

Locations

227 Dunn Rd
Florissant, MO 63031
Phone (314) 931-1881

9560 Watson Rd
Ste D
Saint Louis, MO 63126
Phone (314) 729-9300

14450 South Outer 40 Rd
Town and Country, MO 63017
Phone (314) 434-6060

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1700202165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14450 S OUTER 40 RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175711",
            "telephone_number": "314-434-6060",
            "fax_number": "314-434-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14450 S OUTER 40 RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175711",
            "telephone_number": "314-434-6060",
            "fax_number": "314-434-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATR-TC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "HOFMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "314-434-6060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Training and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.