Organization Active NPI

Physical Therapy and Rehabilitation of Maryland Heights

  • Physical Therapist
  • Chesterfield, MO
National Provider Identifier
1750507869
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01767 Issued in MO
Legal business name
PHYSICAL THERAPY AND REHABILITATION OF MARYLAND HEIGHTS
Practice address
36 Four Seasons Center
Number 134
Chesterfield, MO 63017
Phone
(314) 469-9873
Fax
(314) 439-5154
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Richard S Culligan
Title
President
Phone
(314) 469-9843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 01767 MO Primary

Addresses

Primary practice location

36 Four Seasons Center
Number 134
Chesterfield, MO 63017

Mailing address

36 Four Seasons Center
Number 134
Chesterfield, MO 63017
Phone (314) 469-9873

Other names 1

  • PT and Rehab of Maryland Heights Other name

National Provider Directory

National Provider Directory

Locations

36 Four Seasons Shopping Ctr
#134
Chesterfield, MO 63017
Phone (314) 469-9873

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750507869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 FOUR SEASONS CENTER",
            "address_2": "NUMBER 134",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "314-469-9873",
            "fax_number": "314-439-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 FOUR SEASONS CENTER",
            "address_2": "NUMBER 134",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "314-469-9873",
            "fax_number": "314-439-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY AND REHABILITATION OF MARYLAND HEIGHTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CULLIGAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-469-9843"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "01767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PT and Rehab of Maryland Heights",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.