Individual provider Active NPI

Victoria Suzanne Klump, PT, DPT

  • Physical Therapist
  • Saint Charles, MO
National Provider Identifier
1770100356
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2020016706 Issued in MO
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

Updated by the provider on Feb 10, 2026

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 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 IDStateProvider typePAC IDDetails
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 DirectGroup PAC ID 9638583313, 2 clinicians

Practice addresses (Care Compare)

Saint Charles, MO 63304
Phone (314) 328-5553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020016706MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Direct Physical Therapist CurrentSince Jan 14, 2026 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.

Verify at the official NPI Registry.