Active NPI
Cathreveny Cherestal
- Physical Therapy Assistant
- Saint Charles, MO
National Provider Identifier
1700616471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 1552 Country Club Dr Plaza
Unit 1570
St. Charles, MO 63303 - Phone
- (636) 724-1127
- NPI assigned
- Aug 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
1552 Country Club Dr Plaza
Unit 1570
St. Charles, MO 63303
Mailing address
6728 Highland House CT Apt a
Saint Louis, MO 63123-2525
Phone (863) 393-2417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Select Rehab St Louis LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1700616471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6728 HIGHLAND HOUSE CT APT A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631232525",
"telephone_number": "863-393-2417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1552 COUNTRY CLUB DR PLAZA",
"address_2": "UNIT 1570",
"city": "ST. CHARLES",
"state": "MO",
"postal_code": "63303",
"telephone_number": "636-724-1127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERESTAL",
"first_name": "CATHREVENY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-06",
"last_updated": "2024-08-06",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
- Natchanan Charatcharungkiat, MD
- Charlespointe Counseling LLC
- Britani Hollis Chase, LCSW
- Jaspreet Kaur Chauhan, DDS
- Mary Ann Cheng, MD
- Cherish Healthcare, Incorporated (Cherish Healthcare, INc)
- Samantha Chilson, DPT, PT
- Natalie Chin
- Ronald Antonio Chinchilla, D.M.D.
- Chiro One Wellness Center of St Charles LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.