Organization Active NPI

West Physical Therapy, LLC

  • Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1710966528
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02198 Issued in MO
Legal business name
WEST PHYSICAL THERAPY, LLC
Doing business as
Hands On Therapeutics
Practice address
675 Old Ballas Rd
Suite 210
Saint Louis, MO 63141-7083
Phone
(314) 994-7468
Fax
(314) 994-3725
NPI assigned
Jan 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. David Scott Overby, MHS, PT, OCSNPI 1831300359
Title
Managing Member
Phone
(314) 994-7468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 02198 MO Primary

Addresses

Primary practice location

675 Old Ballas Rd
Suite 210
Saint Louis, MO 63141-7083

Mailing address

PO Box 411040
Saint Louis, MO 63141-3040
Phone (314) 994-7468

Other identifiers 8

IdentifierTypeStateIssuer
559769OtherMOHEALTHLINK
110165OtherMOBLUE CROSS BLUE SHIELD
431782915OVEOtherMOMERCY
607604600OtherMOWC/DOL/OWCP
5677756OtherMOFIRST HEALTH
6400160OtherMOUNITED HEALTH CARE
7617001OtherMOAETNA
9147944OtherMOPRIVATE HEALTH CARE SYSTE

Other names 1

  • Hands On Therapeutics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071015000124 MO Part B Supplier - Clinic/Group Practice 5092619635 Practice locations: Wildwood, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1710966528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411040",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631413040",
            "telephone_number": "314-994-7468",
            "fax_number": "314-994-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 OLD BALLAS RD",
            "address_2": "SUITE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417083",
            "telephone_number": "314-994-7468",
            "fax_number": "314-994-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "OVERBY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "314-994-7468",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHS, PT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "02198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "559769",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "110165",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY",
            "identifier": "431782915OVE",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WC/DOL/OWCP",
            "identifier": "607604600",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5677756",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "6400160",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7617001",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTH CARE SYSTE",
            "identifier": "9147944",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hands On Therapeutics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.

Verify at the official NPI Registry.