Individual provider Active NPI

Theresa M Esker, PTA

  • Physical Therapy Assistant
  • Saint Louis, MO
National Provider Identifier
1841507035
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2008003803 Issued in MO
Practice address
9350 Green Park Rd
Saint Louis, MO 63123-7211
Phone
(618) 977-6704
NPI assigned
Sep 9, 2010
Last updated
Sep 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2008003803 MO Primary

Addresses

Primary practice location

9350 Green Park Rd
Saint Louis, MO 63123-7211

Mailing address

610 Park St
Waterloo, IL 62298-1856
Phone (618) 977-6704

Other names 1

  • Theresa M Williams Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2008003803MOMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1841507035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 PARK ST",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622981856",
            "telephone_number": "618-977-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 GREEN PARK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237211",
            "telephone_number": "618-977-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESKER",
        "first_name": "THERESA",
        "middle_name": "M",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2008003803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "WILLIAMS",
            "middle_name": "M",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.