Individual provider Active NPI

Anne Theiling, PT

  • Pediatric Physical Therapist
  • St. Louis, MO
National Provider Identifier
1841533536
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Practice address
1177 N. Warson Rd
St. Louis, MO 63132
Phone
(314) 569-2211
Fax
(314) 569-3656
NPI assigned
Apr 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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 2005020706 MO
Pediatric Physical Therapist 2251P0200X Primary

Addresses

Primary practice location

1177 N. Warson Rd
St. Louis, MO 63132

Mailing address

1177 N. Warson Rd
St. Louis, MO 63132
Phone (314) 569-2211

Other names 1

  • Anne Weiss 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
2005020706MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Louis Arc Inc Pediatrics Past Accepting new patients
St. Louis Arc Past Accepting new patients

Organizations & group practices 2

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": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1841533536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 N. WARSON RD",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63132",
            "telephone_number": "314-569-2211",
            "fax_number": "314-569-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 N. WARSON RD",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63132",
            "telephone_number": "314-569-2211",
            "fax_number": "314-569-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEILING",
        "first_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2005020706",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "WEISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St. Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.