Active NPI
Patrick Rich, PT, DPT, SFMA
- Physical Therapist
- Ellisville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2014005586
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01445568 | Other | IL | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings Missouri, LLC | Physical Therapist | Current | Accepting new patients |
| Friedrichs Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Elite Chiropractic and Performance, LLC | Past | 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.
-
- Physical Therapy Clinic/Center
- O Fallon, MO
- NPI 1720481591
Physical Therapist
-
- Physical Therapist
- Saint Louis, MO
- NPI 1609277946
-
- Chiropractor
- Chesterfield, MO
- NPI 1225534829
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.