Sports Enhancement Group LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPORTS ENHANCEMENT GROUP LLC

Practice address

217 Chesterfield Towne Ctr
Chesterfield, MO 63005-1257

Phone

(636) 728-0889

Fax

(636) 728-1553

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Stephen Douglas

Title

Director Owner

Phone

(636) 728-0889

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1720132269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 CHESTERFIELD TOWNE CTR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051257",
            "telephone_number": "636-728-0889",
            "fax_number": "636-728-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 CHESTERFIELD TOWNE CTR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051257",
            "telephone_number": "636-728-0889",
            "fax_number": "636-728-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS ENHANCEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DIRECTOR OWNER",
        "authorized_official_telephone_number": "636-728-0889"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spirit Dental, LLC
• Spirit of Health Chiropractic Wellness Center, LLC
• Andrew C Spitzfaden, M.D.
• Alan R Spivack, MD
• Sports & Family Chiropractic & Acupuncture
• Sports Enhancement Group, LLC
• Sherri Sprehe, MD
• Springer Physical Therapy LLC
• Lisa Jo Springer, PT
• Julie Spruill, MS, RD, LD

• Physical Therapist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.