NPIMap

Organization Active NPI

Myofascial Treatment Center LLC

  • Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1801952577
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MYOFASCIAL TREATMENT CENTER LLC
Practice address
10820 Sunset Office Dr Ste 110
Saint Louis, MO 63127
Phone
(314) 965-4404
Fax
(314) 965-4464
NPI assigned
Dec 28, 2006
Last updated
Jul 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary FellingNPI 1366644155
Title
President
Phone
(314) 965-4404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

10820 Sunset Office Dr Ste 110
Saint Louis, MO 63127

Mailing address

10820 Sunset Office Dr Ste 110
Saint Louis, MO 63127-1029
Phone (314) 965-4404

Other practice location 1

142 W Madison Ave
Saint Louis, MO 63122-4213
Phone (314) 965-4404

National Provider Directory

National Provider Directory

Locations

10820 Sunset Office Dr
Ste 110
Saint Louis, MO 63127
Phone (314) 965-4404

142 W Madison Ave
Saint Louis, MO 63122
Phone (314) 435-7026

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1801952577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 SUNSET OFFICE DR STE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271029",
            "telephone_number": "314-965-4404",
            "fax_number": "314-965-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 SUNSET OFFICE DR STE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63127",
            "telephone_number": "314-965-4404",
            "fax_number": "314-965-4464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 W Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631224213",
            "country_code": "US",
            "telephone_number": "314-965-4404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MYOFASCIAL TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "FELLING",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-965-4404"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "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 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.