Teshuvah Healthcare LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TESHUVAH HEALTHCARE LLC

Practice address

5630 Bartmer Ave
Saint Louis, MO 63112-2822

Phone

(314) 309-5968

NPI assigned

Jun 24, 2016

Organization subpart

No

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

Authorized official

Name

Shawn Monroe

Title

Director

Phone

(314) 309-5968

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1861843476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5630 BARTMER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631122822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 BARTMER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631122822",
            "telephone_number": "314-309-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESHUVAH HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-309-5968"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.