Individual provider Active NPI

Kathleen Dunlap, DPT

  • Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1780084822
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2019011241 Issued in MO
Practice address
2843 Missouri Ave
Saint Louis, MO 63118-1640
Phone
(618) 540-8129
NPI assigned
Aug 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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 2019011241 MO Primary

Addresses

Primary practice location

2843 Missouri Ave
Saint Louis, MO 63118-1640

Mailing address

2843 Missouri Ave
Saint Louis, MO 63118-1640
Phone (618) 540-8129

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240321003392 MO Practitioner - Physical Therapist in Private Practice 2668819939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dunlap Physical Therapy and WellnessGroup PAC ID 7113452319, 2 clinicians

Practice addresses (Care Compare)

Saint Louis, MO 63118
Phone (618) 540-8129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019011241MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dunlap Physical Therapy and Wellness Physical Therapist CurrentSince Nov 11, 2024 Accepting new patients

Locations

7200 Manchester Rd
Saint Louis, MO 63143
Phone (314) 292-9873

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": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1780084822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2843 MISSOURI AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631181640",
            "telephone_number": "618-540-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2843 MISSOURI AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631181640",
            "telephone_number": "618-540-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAP",
        "first_name": "KATHLEEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2019011241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.