Active NPI
Scott D Gallant, PT
- Physical Therapist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 119753
- Practice address
- 107 Concord Plaza
Saint Louis, MO 63128 - Phone
- (314) 842-2990
- Fax
- (314) 842-5162
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- 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 | 119753 | MO | Primary |
Addresses
Primary practice location
107 Concord Plaza
Saint Louis, MO 63128
Mailing address
600 Oakmont LN
Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-1980
Other practice location 1
2937 Brentwood Blvd
Brentwood, MO 67144
Phone (314) 961-3804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4131 Union Rd
Saint Louis, MO 63129-1064
Phone (314) 274-9222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119753 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axes Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Axes Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
118 Richardson Xing
Arnold, MO 63010
Phone (636) 206-4146
1155 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937
1195 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937
4273 Keaton Crossing Blvd
O Fallon, MO 63368
Phone (636) 206-4225
4131 Union Rd
Saint Louis, MO 63129
Phone (314) 274-9222
8015 Mackenzie Rd
Saint Louis, MO 63123
Phone (314) 356-2442
2018 Phoenix Center Dr
Washington, MO 63090
Phone (314) 718-4560
Interoperability endpoints
- scott.gallant.p2@direct.athleticoltd.nextgenshare.com
Organizations & group practices 3
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.
-
dba Axes Physical Therapy
- Physical Therapy Clinic/Center
- O'Fallon, MO
- NPI 1003280421
Physical Therapist
-
dba Axes Physical Therapy
- Physical Therapy Clinic/Center
- Washington, MO
- NPI 1679032700
-
dba Axes Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Creve Coeur, MO
- NPI 1699530931
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1780793422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKMONT LN",
"address_2": "STE 600C",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595548",
"telephone_number": "630-575-1980",
"fax_number": "630-928-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CONCORD PLAZA",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63128",
"telephone_number": "314-842-2990",
"fax_number": "314-842-5162"
}
],
"practiceLocations": [
{
"address_1": "2937 Brentwood Blvd",
"address_purpose": "LOCATION",
"city": "Brentwood",
"state": "MO",
"postal_code": "67144",
"country_code": "US",
"telephone_number": "314-961-3804",
"fax_number": "314-961-1147",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLANT",
"first_name": "SCOTT",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "119753",
"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 Jul 31, 2018; 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.