Active NPI
Mark Olmsted, PT, DPT
- Physical Therapist
- Des Peres, MO
National Provider Identifier
1841466752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2007028026
- Practice address
- 11937 Manchester Rd
Des Peres, MO 63131-4502 - Phone
- (314) 822-4400
- Fax
- (314) 822-4111
- NPI assigned
- May 1, 2008
- 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 | 2007028026 | MO | Primary |
Addresses
Primary practice location
11937 Manchester Rd
Des Peres, MO 63131-4502
Mailing address
11937 Manchester Rd
Des Peres, MO 63131-4502
Phone (314) 822-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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 Therapist
- Saint Louis, MO
- NPI 1720140031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1841466752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11937 MANCHESTER RD",
"city": "DES PERES",
"state": "MO",
"postal_code": "631314502",
"telephone_number": "314-822-4400",
"fax_number": "314-822-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11937 MANCHESTER RD",
"city": "DES PERES",
"state": "MO",
"postal_code": "631314502",
"telephone_number": "314-822-4400",
"fax_number": "314-822-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLMSTED",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-01",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2007028026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Peres, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.