Individual provider Active NPI

Chantell Y Unnerstall, OTRL CHT

  • Hand Occupational Therapist
  • Washington, MO
National Provider Identifier
1831281120
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
004891 Issued in MO
Practice address
2022 Phoenix Dr
Washington, MO 63090
Phone
(636) 239-9979
Fax
(636) 239-5442
NPI assigned
Sep 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 004891 MO Primary

Addresses

Primary practice location

2022 Phoenix Dr
Washington, MO 63090

Mailing address

13537 Barrett Parkway Dr
Ste 105
Ballwin, MO 63021
Phone (314) 821-9126

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041008000452 MO Practitioner - Occupational Therapist in Private Practice 9335108927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axes Physical Therapy I, LLCGroup PAC ID 9335481688, 13 clinicians
Axes Physical Therapy LLCGroup PAC ID 3375840028, 112 clinicians

Practice addresses (Care Compare)

2018 Phoenix Ctr Dr
Washington, MO 63090-5544
Phone (636) 283-2185

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 CurrentSince Aug 5, 2019 Accepting new patients
Axes Physical Therapy, LLC CurrentSince Aug 5, 2019 Accepting new patients

Locations

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

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

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

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

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

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

Interoperability endpoints

  • Direct secure messaging: chantell.unnerstall.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831281120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13537 BARRETT PARKWAY DR",
            "address_2": "STE 105",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "63021",
            "telephone_number": "314-821-9126",
            "fax_number": "314-821-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 PHOENIX DR",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "63090",
            "telephone_number": "636-239-9979",
            "fax_number": "636-239-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNNERSTALL",
        "first_name": "CHANTELL",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "credential": "OTRL CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MO",
            "license": "004891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.