Individual provider Active NPI

Steven Reierson, DPT

  • Physical Therapist
  • Saint Charles, MO
National Provider Identifier
1821723297
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-7981 Issued in ID
Practice address
1348 Bass Pro Dr
Saint Charles, MO 63301-2461
Phone
(636) 757-5075
NPI assigned
Jul 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-7981 ID Primary
Physical Therapist 225100000X 2022029652 MO

Addresses

Primary practice location

1348 Bass Pro Dr
Saint Charles, MO 63301-2461

Mailing address

4273 Keaton Crossing Blvd
O Fallon, MO 63368-8220
Phone (636) 206-6540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220805002577 MO Practitioner - Physical Therapist in Private Practice 5799167896 Reassigns benefits to 2 organizations
I20260209002257 OK Practitioner - Physical Therapist in Private Practice 5799167896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
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)

213 Village Square Shop Ctr
Suite 213
Hazelwood, MO 63042-1838
Phone (314) 764-2230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-7981IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Axes Physical Therapy, LLC Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Axes Physical Therapy, LLC Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
PTMS 3.0, LLC Physical Therapist CurrentSince Jan 22, 2026 Accepting new patients

Locations

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

213 Village Square Shop Ctr
Ste 213
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

21 Silo Dr
Union, MO 63084
Phone (636) 649-4131

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

440 Merchant Dr
Norman, OK 73069
Phone (405) 579-1600

815 NW 12th St
Oklahoma City, OK 73106
Phone (405) 230-9575

Organizations & group practices 5

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": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1821723297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4273 KEATON CROSSING BLVD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688220",
            "telephone_number": "636-206-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 BASS PRO DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012461",
            "telephone_number": "636-757-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIERSON",
        "first_name": "STEVEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-7981",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2022029652",
            "primary": false
        }
    ],
    "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 Jul 28, 2022; 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.