Joelle Ruth Podgorny, PT, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

105439 Issued in MO

Practice address

763 S. New Ballas Rd #200
200
Saint Louis, MO 63141-8711

Phone

(314) 991-2562

Fax

(314) 991-2593

NPI assigned

Aug 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Joelle Ruth Jones Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1851549182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 S. NEW BALLAS RD #200",
            "address_2": "200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418711",
            "telephone_number": "314-991-2562",
            "fax_number": "314-991-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 S. NEW BALLAS RD #200",
            "address_2": "200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418711",
            "telephone_number": "314-991-2562",
            "fax_number": "314-991-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODGORNY",
        "first_name": "JOELLE",
        "middle_name": "RUTH",
        "credential": "PT, MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "105439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOELLE",
            "last_name": "JONES",
            "middle_name": "RUTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Santiago Bo Plurad, D.O.
• PMZ, Inc
• Jesse V Poblete, M.D.
• Poc Services LLC
• Emily Lauren Podany, MD
• Podiapedics Foot Surgery & Wound
• Allison Nicole Podsednik Gardner, MD
• Teresa A Poe, CST/CSFA
• Donna Kaliski Poelker, RN, CPNP
• Kathy Ann Poelker, LPC

• Physical Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.