Thomas Charles Shriver II, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2024005927 Issued in MO

Practice address

5200 Executive Centre Pkwy
Saint Peters, MO 63376-3798

Phone

(636) 255-8750

NPI assigned

Feb 15, 2024

Last updated

Sep 30, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tommy Shriver Other name

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Axes Physical Therapy LLCGroup PAC ID 3375840028, shared by 12 NPIs, 112 clinicians

Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PAGroup PAC ID 7012997638, 385 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path

  dba Axes Physical Therapy

  • Physical Therapist
  • Clinton, IL
  • NPI 1376917187
  Medicare reassignment Care Compare group NPD
• Axes Physical Therapy, LLC

  dba Axes Physical Therapy

  • Physical Therapy Clinic/Center
  • O'Fallon, MO
  • NPI 1003280421

  Physical Therapist

  Medicare reassignment NPD
• Axes Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Glen Carbon, IL
  • NPI 1093425944

  Physical Therapist

  Medicare reassignment NPD
• Axes Physical Therapy I, LLC

  dba Axes Physical Therapy

  • Physical Therapy Clinic/Center
  • Washington, MO
  • NPI 1679032700
  Medicare reassignment
• Axes Physical Therapy, LLC

  dba Axes Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Creve Coeur, MO
  • NPI 1699530931

  Physical Therapist

  NPD
• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1215637699
  NPD

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1891550240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 SPIRIT AIRPARK WEST DR STE 101",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051032",
            "telephone_number": "636-223-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 EXECUTIVE CENTRE PKWY",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763798",
            "telephone_number": "636-255-8750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 Junction Dr",
            "address_purpose": "LOCATION",
            "city": "Glen Carbon",
            "state": "IL",
            "postal_code": "620344322",
            "country_code": "US",
            "telephone_number": "618-636-5756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHRIVER",
        "first_name": "THOMAS",
        "middle_name": "CHARLES",
        "name_suffix": "II",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-15",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2024005927",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "70.02929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOMMY",
            "last_name": "SHRIVER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Peggy Ruthaleen Sherwin
• Brent E Shields, CRNA
• Shine Bright Counseling LLC
• Gianna R Shockley, PLPC
• Abigail Short
• Corie Shrum
• Stephanie Shrum, PHARMD
• Nora K Shumway, MD
• Elizabeth Siegfried
• Elise Sievers, M.ED

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.