Active NPI
Pamela A Hubbard, PT
- Physical Therapist
- Saint Louis, MO
National Provider Identifier
1780945881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 104604
- Practice address
- 11135 Manchester Rd
Saint Louis, MO 63122-1253 - Phone
- (314) 822-4400
- Fax
- (314) 822-4111
- NPI assigned
- Jun 5, 2012
- 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 | 104604 | MO | Primary |
Addresses
Primary practice location
11135 Manchester Rd
Saint Louis, MO 63122-1253
Mailing address
11135 Manchester Rd
Saint Louis, MO 63122-1253
Phone (314) 822-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338854400000",
"number": "1780945881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11135 MANCHESTER RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631221253",
"telephone_number": "314-822-4400",
"fax_number": "314-822-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11135 MANCHESTER RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631221253",
"telephone_number": "314-822-4400",
"fax_number": "314-822-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "PAMELA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-05",
"last_updated": "2012-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "104604",
"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 Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.