NPIMap

Organization Active NPI

Atr Ryan LLC

Doing business as Advanced Training and Rehab

  • Physical Therapist
  • Chesterfield, MO
National Provider Identifier
1700215803
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ATR RYAN 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
Nov 8, 2013
Last updated
Nov 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Mr. James 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
O20140228000982 MO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5294965943 Receives reassigned benefits from 12 practitioners
Practice locations: Lake Saint Louis, MO; O Fallon, MO; Saint Charles, MO

National Provider Directory

National Provider Directory

Locations

6440 Ronald Reagan Dr
Lake St Louis, MO 63367
Phone (636) 204-3110

514 S Main St
O Fallon, MO 63366
Phone (636) 730-1188

3758 Monticello Plz
Saint Charles, MO 63304
Phone (636) 329-0110

Practitioners & affiliated clinicians

Practitioners 12

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": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1700215803",
    "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 RYAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "HOFMAN",
        "authorized_official_first_name": "JAMES",
        "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 Nov 8, 2013; 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.