Transfiguration, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

R0391 Issued in MO

Legal business name

TRANSFIGURATION, INC.

Doing business as

d.b.a. Des Peres Physical Therapy

Practice address

11247 Manchester Rd.
Kirkwood, MO 63122

Phone

(314) 821-6006

Fax

(314) 821-6005

NPI assigned

May 3, 2007

Last updated

Dec 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deb Lavender, P.T.

Title

Physical Therapist/Owner

Phone

(314) 821-6006

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• d.b.a. Des Peres Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1730301359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11247 MANCHESTER RD.",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "63122",
            "telephone_number": "314-821-6006",
            "fax_number": "314-821-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11247 MANCHESTER RD.",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "63122",
            "telephone_number": "314-821-6006",
            "fax_number": "314-821-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFIGURATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "LAVENDER",
        "authorized_official_first_name": "DEB",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "314-821-6006",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "R0391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "D06506",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "d.b.a. Des Peres Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Kirkwood, MO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.