Axes Physical Therapy, LLC
Organization Active NPI Prosthetic/Orthotic Supplier · Wentzville, MO
NPI 1720540313 · NPPES record last updated Apr 2, 2019
Key facts
- NPI
- 1720540313
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- AXES PHYSICAL THERAPY, LLC
- Practice address
- 754 Luetkenhaus Blvd
Wentzville, MO 63385-3515 - Phone
- (636) 206-4225
- NPI assigned
- Apr 2, 2019
- Organization subpart
- No
Authorized official
- Name
- John Teepe, MPT
- Title
- Partner
- Phone
- (314) 764-2230
Other NPIs with the same Medicare PAC ID 11
Corporate family (same tax ID) 10
Practitioners 112
-
Sidney Archer, DPT
-
Brandi R Arndt, MPT
-
Kelly Lin Barnes, DPT
-
Erin Bauer, DPT
-
Raymond Bauer, PT
-
Jamie Baumer, DPT
-
Tonya N Becker, PT, DPT
-
Sadie Betts, OTR/L
-
Amanda Bibas, DPT
-
Jodi Bielicke, DPT
-
Brendan Brause, PT
-
Michael Buchheit, DPT
-
Aaron N Buettner, DPT
-
Amanda J Carter, MSPT ATC CMPT CWC
-
Christine Marie Casner, PT, CERT. MDT
-
Bryan Chac, DPT
-
Mackenzie Crehan, OTR/L
-
Carly Donahue, PT, DPT
-
Sara Lynn Dowil, OTRL CHT
-
Hannah Drake, DPT
-
Taylor Raye Elmore, PT, DPT
-
Haley Fay Finnegan, OTR/L
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190913000474 | MO | DME Supplier - Independently-Practicing Physical Therapist | 3375840028 | Practice locations: Wentzville, MO |
National Provider Directory
- Tax ID family
- Axes Physical Therapy LLC
Locations
647 Spirit Airpark West Dr
Ste 101
Chesterfield, MO 63005
Phone (636) 223-5700
754 Luetkenhaus Blvd
Wentzville, MO 63385
Phone (636) 206-4225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
754 Luetkenhaus Blvd
Wentzville, MO 63385-3515
Mailing address
4273 Keaton Crossing Blvd
O Fallon, MO 63368-8220
Phone (636) 206-4225
Other providers in Wentzville, MO
- Daniel Paul Aubuchon
- Jennifer Lynne Aubuchon
- Jill Auchly
- Erin M Austin
- Ashley Marie Avila
- B & B in-Home Care LLC
- Babar Enterprises LLC
- Lesley Elizabeth Babor
- William Scott Bailey
- Baird Spine and Sport LLC
All providers in Wentzville, MO · Prosthetic/Orthotic Supplier in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.