Active NPI
Marina Panzeri
- Physical Therapist
- Saint Louis, MO
National Provider Identifier
1861694655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 01461
- Practice address
- 142 W Madison Ave
Saint Louis, MO 63122-4213 - Phone
- (314) 965-4404
- Fax
- (314) 965-4464
- NPI assigned
- Jun 4, 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 | 01461 | MO | Primary |
Addresses
Primary practice location
142 W Madison Ave
Saint Louis, MO 63122-4213
Mailing address
142 W Madison Ave
Saint Louis, MO 63122-4213
Phone (314) 965-4404
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01461 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myofascial Treatment Center LLC | 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 1801952577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861694655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 W MADISON AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631224213",
"telephone_number": "314-965-4404",
"fax_number": "314-965-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 W MADISON AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631224213",
"telephone_number": "314-965-4404",
"fax_number": "314-965-4464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANZERI",
"first_name": "MARINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "01461",
"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.