Active NPI
Matthew James Filla II, MPT
- Physical Therapist
- Saint Charles, MO
National Provider Identifier
1710290408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2006038717
- Practice address
- 1475 Kisker Rd
Suite 150
Saint Charles, MO 63304-8781 - Phone
- (636) 498-7474
- Fax
- (636) 498-7475
- NPI assigned
- Jul 22, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 2006038717 | MO | Primary |
Addresses
Primary practice location
1475 Kisker Rd
Suite 150
Saint Charles, MO 63304-8781
Mailing address
1475 Kisker Rd
Suite 150
Saint Charles, MO 63304-8781
Phone (636) 498-7474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006038717 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choice Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
Locations
12400 Olive Blvd
Ste 425
Saint Louis, MO 63141
Phone (314) 275-9000
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279756800000",
"number": "1710290408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 KISKER RD",
"address_2": "SUITE 150",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633048781",
"telephone_number": "636-498-7474",
"fax_number": "636-498-7475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 KISKER RD",
"address_2": "SUITE 150",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633048781",
"telephone_number": "636-498-7474",
"fax_number": "636-498-7475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILLA",
"first_name": "MATTHEW",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-22",
"last_updated": "2010-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2006038717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.