Physical and Sports Therapy Services of St Louis

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

R0063 Issued in MO

Legal business name

PHYSICAL AND SPORTS THERAPY SERVICES OF ST LOUIS

Practice address

950 Francis PL
Suite 15
Saint Louis, MO 63105-2465

Phone

(314) 726-1186

Fax

(314) 726-0176

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dan O Kelley, PT DIP MDTNPI 1902020076

Title

Owner Director

Phone

(314) 726-1186

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dan O. Kelley, PT

  • Physical Therapist
  • Saint Louis, MO
  • NPI 1902020076
  NPD (past) Authorized official

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1740400779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 FRANCIS PL",
            "address_2": "SUITE 15",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052465",
            "telephone_number": "314-726-1186",
            "fax_number": "314-726-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 FRANCIS PL",
            "address_2": "SUITE 15",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052465",
            "telephone_number": "314-726-1186",
            "fax_number": "314-726-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL AND SPORTS THERAPY SERVICES OF ST LOUIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "314-726-1186",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT DIP MDT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "R0063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Home Care, LLC
• Phoenix Home Care, LLC
• Phoenix Psychological Group, Inc
• Erin Buckley Phoenix, LPC
• Andrew Phung
• Physical Therapy Collective, LLC
• Physical Therapy Consultants, Inc
• Physical Therapy Specialists in Neurology and Orthopedics PC
• Physician Correctional USA (Mo.), LLC
• Physician Groups LC

• All providers in Saint Louis, MO
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.