Individual provider Active NPI

Meredith Roach

  • Physical Therapist
  • Dardenne Prairie, MO
National Provider Identifier
1760369326
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2025034712 Issued in MO
Practice address
7873 Town Square Ave
Dardenne Prairie, MO 63368-6704
Phone
(636) 229-1777
NPI assigned
Aug 18, 2025
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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 2025034712 MO Primary

Addresses

Primary practice location

7873 Town Square Ave
Dardenne Prairie, MO 63368-6704

Mailing address

PO Box 520
Warrenton, MO 63383-0520

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250930003823 MO Practitioner - Physical Therapist in Private Practice 2062918980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back 2 Motion Rehab LLCGroup PAC ID 4587960240, 3 clinicians

Practice addresses (Care Compare)

7873 Hwy N
Dardenne Prairie, MO 63368-6704
Phone (636) 229-1777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025034712MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back 2 Motion Rehab, LLC Physical Therapist CurrentSince Aug 13, 2025 Accepting new patients
CRPT, LLC Physical Therapist PastSince Aug 13, 2025 Accepting new patients

Locations

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

12674 Dorsett Rd
Maryland Heights, MO 63043
Phone (314) 384-9049

7873 Highway N
O Fallon, MO 63368
Phone (636) 229-1777

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, 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": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1760369326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "WARRENTON",
            "state": "MO",
            "postal_code": "633830520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7873 TOWN SQUARE AVE",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633686704",
            "telephone_number": "636-229-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "MEREDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2025034712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dardenne Prairie, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.