Missouri Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2012027772 Issued in MO

Legal business name

MISSOURI PHYSICAL THERAPY LLC

Practice address

9751 Clayton Rd
Saint Louis, MO 63124-1503

Phone

(314) 922-2457

NPI assigned

Jul 9, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kyle William Weindel, DPT

Title

Owner

Phone

(314) 922-2457

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1720429558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12961 MAYERLING DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463601",
            "telephone_number": "314-922-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9751 CLAYTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241503",
            "telephone_number": "314-922-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "WEINDEL",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-922-2457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "2012027772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Missouri Med LLC
• Missouri Medical Supply, Inc.
• Missouri Mental Health Network
• Missouri One Opco LLC
• Missouri Orthopedic & Arthroscopic Sugery, Inc.
• Missouri Physical Therapy Services of Creve Coeur, LLC
• Missouri Probation Supervision Services, Inc.
• Missouri Professional Health Services
• Missouri Renal Medicine
• Missouri Residential Care LLC

• Physical Therapy Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.