Individual provider Active NPI

John Bryan Teepe, MPT

  • Physical Therapist
  • Farmington, MO
National Provider Identifier
1801905419
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
112727 Issued in MO
Practice address
109 Vierse Dr
Farmington, MO 63640-1323
Phone
(573) 756-2937
Fax
(573) 756-2939
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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 112727 MO Primary

Addresses

Primary practice location

109 Vierse Dr
Farmington, MO 63640-1323

Mailing address

11939 Kendon Dr
St Louis, MO 63131-4117
Phone (314) 718-4560

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101221000156 MO Practitioner - Physical Therapist in Private Practice 1355539131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axes Physical Therapy LLCGroup PAC ID 3375840028, 112 clinicians

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

Practice roles

OrganizationSpecialtyStatusNew patients
Axes Physical Therapy, LLC Physical Therapist CurrentSince Apr 18, 2016 Accepting new patients
Axes Physical Therapy, LLC Physical Therapist CurrentSince Nov 6, 2015 Accepting new patients

Locations

11330 Olive Blvd
Ste 130
Creve Coeur, MO 63141
Phone (314) 896-2205

1155 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937

109 Vierse Dr
Farmington, MO 63640
Phone (573) 756-2793

1195 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937

1120 W Commerce Dr
Ste 100
Festus, MO 63028
Phone (636) 224-7511

7025 Howdershell Rd
Ste E
Hazelwood, MO 63042
Phone (314) 750-0000

213 Village Square Shop Ctr
Hazelwood, MO 63042
Phone (314) 764-2230

4273 Keaton Crossing Blvd
O Fallon, MO 63368
Phone (636) 206-4225

1348 Bass Pro Dr
Saint Charles, MO 63301
Phone (636) 757-5075

4131 Union Rd
Saint Louis, MO 63129
Phone (314) 274-9222

2018 Phoenix Center Dr
Washington, MO 63090
Phone (314) 718-4560

Interoperability endpoints

  • Direct secure messaging: john.teepe.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 and National Provider Directory roles.

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": "1464912000000",
    "number": "1801905419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11939 KENDON DR",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631314117",
            "telephone_number": "314-718-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 VIERSE DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401323",
            "telephone_number": "573-756-2937",
            "fax_number": "573-756-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEEPE",
        "first_name": "JOHN",
        "middle_name": "BRYAN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "112727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.