Individual provider Active NPI

Elizabeth D Natho, DPT

  • Physical Therapist
  • O Fallon, MO
National Provider Identifier
1700584786
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2023004472 Issued in MO
Practice address
514 S Main St
O Fallon, MO 63366-2535
Phone
(636) 730-1188
NPI assigned
Feb 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2023004472 MO Primary

Addresses

Primary practice location

514 S Main St
O Fallon, MO 63366-2535

Mailing address

14515 N Outer 40 Rd Ste 110
Chesterfield, MO 63017-5746
Phone (314) 434-8680

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230314002226 MO Practitioner - Physical Therapist in Private Practice 7911371927 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Training and Rehab LLCGroup PAC ID 2961487475, 29 clinicians

Practice addresses (Care Compare)

12108 Saint Charles Rock Rd
Bridgeton, MO 63044-2601
Phone (314) 739-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023004472MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atr Tony LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Atr Ryan LLC Physical Therapist CurrentSince Feb 20, 2023 Accepting new patients
Advanced Training and Rehab LLC Physical Therapist CurrentSince Feb 17, 2025 Accepting new patients

Locations

12108 Saint Charles Rock Rd
Bridgeton, MO 63044
Phone (314) 739-2020

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

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

333 S Kirkwood Rd
Ste 201
Saint Louis, MO 63122
Phone (314) 909-0517

14515 North Outer 40 Rd
Ste 110
Town and Country, MO 63017
Phone (314) 434-6060

1229 Wentzville Pkwy
Ste 209
Wentzville, MO 63385
Phone (636) 730-1118

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1700584786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14515 N OUTER 40 RD STE 110",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175746",
            "telephone_number": "314-434-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S MAIN ST",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662535",
            "telephone_number": "636-730-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHO",
        "first_name": "ELIZABETH",
        "middle_name": "D",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2023004472",
            "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 Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.