Sports and Physical Therapy Center

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2001005492 Issued in MO

Legal business name

SPORTS AND PHYSICAL THERAPY CENTER

Doing business as

SPTC

Practice address

322 N Central Ave
Eureka, MO 63025-1826

Phone

(636) 938-4065

Fax

(636) 938-4067

NPI assigned

Jul 6, 2006

Last updated

Dec 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Sean C Quinn, PTNPI 1780897801

Title

President

Phone

(636) 938-4065

Specialties & licenses 1

Addresses

Other names 1

• SPTC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sean C Quinn, MPT

  • Physical Therapist
  • Eureka, MO
  • NPI 1780897801
  Authorized official Same address or phone

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1770514879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 N CENTRAL AVE",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251826",
            "telephone_number": "636-938-4065",
            "fax_number": "636-938-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 N CENTRAL AVE",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251826",
            "telephone_number": "636-938-4065",
            "fax_number": "636-938-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS AND PHYSICAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-938-4065",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2001005492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Elizabeth Schoenike, PHARM.D.
• Scoliosis Specialists of St. Louis LLC
• Wendy Selman, PT, CHT
• Kolleen L Simons, LCSW
• Sonu Muthuvalliappan 4 DMD LLC
• SSM Berland Eureka Imaging Services LLC
• SSM Medical Group (Eureka Medical Group)
• St Josephs Hill Infirmary Inc
• St. Andrew's at Francis Place
• St. Anthony's Physician Organization (Mercy Clinic South Physicians)

• Physical Therapist in Eureka, MO
• Providers in Eureka, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.