Individual provider Active NPI

Rebecca Ammann, PT, DPT

  • Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1720694607
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2018028529 Issued in MO
Practice address
2705 Dougherty Ferry Rd Ste 104
Saint Louis, MO 63122-3372
Phone
(314) 394-3319
NPI assigned
Sep 16, 2020
Last updated
Sep 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2018028529 MO Primary
Athletic Trainer 2255A2300X 2014030412 MO

Addresses

Primary practice location

2705 Dougherty Ferry Rd Ste 104
Saint Louis, MO 63122-3372

Mailing address

2705 Dougherty Ferry Rd Ste 104
Saint Louis, MO 63122-3372
Phone (314) 394-3319

Other practice location 1

723 S Laclede Station Rd
Saint Louis, MO 63119-4911
Phone (314) 446-2346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2014030412MOMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Clayton Sleep Institute, LLC PastSince Sep 1, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1720694607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 DOUGHERTY FERRY RD STE 104",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223372",
            "telephone_number": "314-394-3319",
            "fax_number": "314-394-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 DOUGHERTY FERRY RD STE 104",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223372",
            "telephone_number": "314-394-3319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "723 S Laclede Station Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631194911",
            "country_code": "US",
            "telephone_number": "314-446-2346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMMANN",
        "first_name": "REBECCA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2018028529",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2014030412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 26, 2022; 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.