Organization Active NPI

Springer Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • O'Fallon, MO
National Provider Identifier
1700318094
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
LC001530635 Issued in MO
Legal business name
SPRINGER PHYSICAL THERAPY LLC
Practice address
1630 Market Center Dr Ste 202
O Fallon, MO 63368-8407
Phone
(636) 263-3006
Fax
(636) 263-3007
NPI assigned
Mar 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Authorized official

Name
Dr. Lisa Springer, DOCTOR OF PT
Title
Ceo
Phone
(314) 733-9100

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Hand Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XH1200X
Physical Therapy Clinic/Center 261QP2000X LC001530635 MO Primary

Addresses

Primary practice location

1630 Market Center Dr Ste 202
O Fallon, MO 63368-8407

Mailing address

11630 Studt Ave Ste 200
Creve Coeur, MO 63141-7016
Phone (901) 573-5306

Other practice location 1

11630 Studt Ave Ste 200
Creve Coeur, MO 63141
Phone (314) 733-9100

National Provider Directory

National Provider Directory

Locations

1630 Market Center Blvd
Ste 202
O Fallon, MO 63368
Phone (636) 244-8248

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1700318094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11630 STUDT AVE STE 200",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417016",
            "telephone_number": "901-573-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MARKET CENTER DR STE 202",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688407",
            "telephone_number": "636-263-3006",
            "fax_number": "636-263-3007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11630 Studt Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Creve Coeur",
            "state": "MO",
            "postal_code": "63141",
            "country_code": "US",
            "telephone_number": "314-733-9100",
            "fax_number": "314-733-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPRINGER PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "SPRINGER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-733-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOCTOR OF PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "LC001530635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.