Active NPI
Victoria Suzanne Klump, PT, DPT
- Physical Therapist
- Saint Charles, MO
National Provider Identifier
1770100356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2020016706
- Practice address
- 22 Misty Ridge CT
Saint Charles, MO 63304-7279 - Phone
- (636) 443-5020
- Fax
- (314) 328-5610
- NPI assigned
- Jun 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2020016706 | MO | Primary |
Addresses
Primary practice location
22 Misty Ridge CT
Saint Charles, MO 63304-7279
Mailing address
22 Misty Ridge CT
Saint Charles, MO 63304-7279
Phone (636) 443-5020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200702000681 | MO | Practitioner - Physical Therapist in Private Practice | 6800219254 | Reassigns benefits to 1 organization |
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
- Physical Therapy Direct
Practice addresses (Care Compare)
Saint Charles, MO 63304
Phone (314) 328-5553
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020016706 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Direct | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
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": "1770681600000",
"number": "1770100356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 MISTY RIDGE CT",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633047279",
"telephone_number": "636-443-5020",
"fax_number": "314-328-5610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 MISTY RIDGE CT",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633047279",
"telephone_number": "636-443-5020",
"fax_number": "314-328-5610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUMP",
"first_name": "VICTORIA",
"middle_name": "SUZANNE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-30",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2020016706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.