Active NPI
Amy Posadas
- Physical Therapist
- O'Fallon, MO
National Provider Identifier
1710097423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 821 W Terra LN
O Fallon, MO 63366-2300 - Phone
- (636) 734-6141
- NPI assigned
- Aug 30, 2006
- Last updated
- Oct 12, 2018
- 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 Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
821 W Terra LN
O Fallon, MO 63366-2300
Mailing address
16 S Boxwood LN
O Fallon, MO 63366-1626
Phone (636) 379-8653
Other practice location 1
2394 Highway K
O Fallon, MO 63368-6661
Phone (636) 978-3711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2006000397 | Other | MO | LICENSE |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Select Rehab St. Louis, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- O'Fallon, MO
- NPI 1407314826
-
dba SSM Physical Therapy
- Rehabilitation Practitioner
- Breese, IL
- NPI 1740166347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539302400000",
"number": "1710097423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 S BOXWOOD LN",
"city": "O FALLON",
"state": "MO",
"postal_code": "633661626",
"telephone_number": "636-379-8653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 W TERRA LN",
"city": "O FALLON",
"state": "MO",
"postal_code": "633662300",
"telephone_number": "636-734-6141"
}
],
"practiceLocations": [
{
"address_1": "2394 Highway K",
"address_purpose": "LOCATION",
"city": "O Fallon",
"state": "MO",
"postal_code": "633686661",
"country_code": "US",
"telephone_number": "636-978-3711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POSADAS",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2018-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "2006000397",
"state": "MO"
}
],
"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 Oct 12, 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.