NPIMap

Organization Active NPI

Ladue Physical Therapy and Personal Training, Inc

  • Rehabilitation Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1891108783
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
2012027772 Issued in MO
Legal business name
LADUE PHYSICAL THERAPY AND PERSONAL TRAINING, INC
Practice address
9751 Clayton Rd
Saint Louis, MO 63124-1503
Phone
(314) 922-2457
Fax
(314) 261-9297
NPI assigned
Jun 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Dr. Kyle William Weindel, DPTNPI 1760825848
Title
Co-Founder / Physical Therapist
Phone
(314) 922-2457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 2012027772 MO Primary

Addresses

Primary practice location

9751 Clayton Rd
Saint Louis, MO 63124-1503

Mailing address

9751 Clayton Rd
Saint Louis, MO 63124-1503
Phone (314) 922-2457

Other names 1

  • Ladue PT Doing business as

National Provider Directory

National Provider Directory

Locations

9751 Clayton Rd
Saint Louis, MO 63124
Phone (314) 922-2457

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1891108783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9751 CLAYTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241503",
            "telephone_number": "314-922-2457",
            "fax_number": "314-261-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9751 CLAYTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241503",
            "telephone_number": "314-922-2457",
            "fax_number": "314-261-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADUE PHYSICAL THERAPY AND PERSONAL TRAINING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "WEINDEL",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CO-FOUNDER / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "314-922-2457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MO",
            "license": "2012027772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ladue PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 9, 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.