Active NPI
Michelle Lynn Unterberg, PT
- Physical Therapist
- Saint Louis, MO
National Provider Identifier
1851419998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- R1231
- Practice address
- 232 South Woods Mill Road
Saint Louis, MO 63141-1607 - Phone
- (314) 542-4767
- NPI assigned
- Mar 27, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | R1231 | MO | Primary |
Addresses
Primary practice location
232 South Woods Mill Road
Saint Louis, MO 63141-1607
Mailing address
9132 Lawn Ave
Saint Louis, MO 63144-1607
Phone (314) 961-8581
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
| License | State | Type | Specialty |
|---|---|---|---|
| R1231 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851419998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9132 LAWN AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631441607",
"telephone_number": "314-961-8581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 SOUTH WOODS MILL ROAD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631411607",
"telephone_number": "314-542-4767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNTERBERG",
"first_name": "MICHELLE",
"middle_name": "LYNN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "R1231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.