Individual provider Active NPI

Audrey Mills, PT, DPT

  • Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1730706359
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2020016677 Issued in MO
Practice address
8601 Glenwood Dr
Saint Louis, MO 63126-1957
Phone
(636) 484-3727
NPI assigned
Jun 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2020016677 MO Primary

Addresses

Primary practice location

8601 Glenwood Dr
Saint Louis, MO 63126-1957

Mailing address

2753 Sun Meadow Dr
Wildwood, MO 63005-7025
Phone (636) 484-3727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240318001570 MO Practitioner - Physical Therapist in Private Practice 8921445651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance 21 Physical Therapy LLCGroup PAC ID 4688022528, 2 clinicians

Practice addresses (Care Compare)

1311 Woodside Dr
Arnold, MO 63010-6500
Phone (314) 443-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Direct Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Performance 21 Physical Therapy LLC Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients

Locations

1 Leon Hall Pkwy
Hillsboro, MO 63050

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1730706359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2753 SUN MEADOW DR",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630057025",
            "telephone_number": "636-484-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 GLENWOOD DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261957",
            "telephone_number": "636-484-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "AUDREY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2020016677",
            "primary": true
        }
    ],
    "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 Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.