Individual provider Active NPI

Stephanie N. Boyd, DPT

  • Physical Therapist
  • Saint Charles, MO
National Provider Identifier
1790239358
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2016027705 Issued in MO
Practice address
3758 Monticello PLZ
Saint Charles, MO 63304-8613
Phone
(636) 329-0110
NPI assigned
Aug 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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 2016027705 MO Primary

Addresses

Primary practice location

3758 Monticello PLZ
Saint Charles, MO 63304-8613

Mailing address

14515 N Outer 40 Rd
110
Chesterfield, MO 63017-5791
Phone (314) 434-8680

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160825000413 MO Practitioner - Physical Therapist in Private Practice 7012202351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Missouri, Columbia School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atr Ryan LLCGroup PAC ID 5294965943, 8 clinicians

Practice addresses (Care Compare)

3758 Monticello PLZ
Saint Charles, MO 63304-8613
Phone (636) 329-0110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2016027705MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atr Ryan LLC Physical Therapist CurrentSince Jul 24, 2016 Accepting new patients
Advanced Training and Rehab LLC Physical Therapist PastSince Jul 24, 2016 Accepting new patients

Locations

514 S Main St
O Fallon, MO 63366
Phone (636) 730-1188

3758 Monticello Plz
Saint Charles, MO 63304
Phone (636) 329-0110

14515 North Outer 40 Rd
Ste 110
Town and Country, MO 63017
Phone (314) 434-6060

Organizations & group practices 2

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": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1790239358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14515 N OUTER 40 RD",
            "address_2": "110",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175791",
            "telephone_number": "314-434-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3758 MONTICELLO PLZ",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633048613",
            "telephone_number": "636-329-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "STEPHANIE",
        "middle_name": "N.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2016027705",
            "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 Mar 8, 2023; 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.