Individual provider Active NPI

Patrick Rich, PT, DPT, SFMA

  • Physical Therapist
  • Ellisville, MO
National Provider Identifier
1811329709
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2014005586 Issued in MO
Practice address
249 Clarkson Rd Ste 101
Ellisville, MO 63011
Phone
(636) 265-1505
Fax
(636) 266-2112
NPI assigned
Aug 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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 2014005586 MO Primary

Addresses

Primary practice location

249 Clarkson Rd Ste 101
Ellisville, MO 63011

Mailing address

2315 Highway K
O Fallon, MO 63368-8659
Phone (636) 265-1505

Other practice location 1

509 Hamacher St
Ste 101
Waterloo, IL 62298-1592
Phone (618) 939-5555

Other practice location 2

249 Clarkson Rd Ste 101
Ellisville, MO 63011
Phone (636) 265-1505 ext. 1

Other identifiers 1

IdentifierTypeStateIssuer
P01445568OtherILRR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140403000554 MO Practitioner - Physical Therapist in Private Practice 9931334075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Friedrichs Physical Therapy LLCGroup PAC ID 7618290933, 5 clinicians

Practice addresses (Care Compare)

2315 Hwy K
O Fallon, MO 63368-8659
Phone (636) 265-1505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings Missouri, LLC Physical Therapist CurrentSince Sep 8, 2014 Accepting new patients
Friedrichs Physical Therapy, LLC Physical Therapist CurrentSince Oct 16, 2017 Accepting new patients
Elite Chiropractic and Performance, LLC PastSince May 1, 2018 Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

140 Long Rd
Ste 201
Chesterfield, MO 63005
Phone (636) 265-1505

249 Clarkson Rd
Ste 101
Ellisville, MO 63011
Phone (636) 256-0707

2315 Highway K
O Fallon, MO 63368
Phone (636) 265-1505

4418 Telegraph Rd
Saint Louis, MO 63129
Phone (314) 894-2222

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": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1811329709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688659",
            "telephone_number": "636-265-1505",
            "fax_number": "636-266-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 CLARKSON RD STE 101",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "63011",
            "telephone_number": "636-265-1505",
            "fax_number": "636-266-2112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Hamacher St",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IL",
            "postal_code": "622981592",
            "country_code": "US",
            "telephone_number": "618-939-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "249 Clarkson Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ellisville",
            "state": "MO",
            "postal_code": "63011",
            "country_code": "US",
            "telephone_number": "636-265-1505 x1",
            "fax_number": "636-266-2112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICH",
        "first_name": "PATRICK",
        "credential": "PT, DPT, SFMA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-02",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2014005586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01445568",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellisville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.