Active NPI
Maureen Ackels, PT
- Orthopedic Physical Therapist
- St. Louis, MO
National Provider Identifier
1902488836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 01545
- Practice address
- 5000 Manchester Ave.
St. Louis, MO 63110 - Phone
- (314) 747-5000
- Fax
- (314) 747-5866
- NPI assigned
- Apr 21, 2021
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 01545 | MO | Primary |
Addresses
Primary practice location
5000 Manchester Ave.
St. Louis, MO 63110
Mailing address
5000 Manchester Ave.
St. Louis, MO 63110
Phone (314) 747-5000
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01545 | MO | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1902488836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 MANCHESTER AVE.",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63110",
"telephone_number": "314-747-5000",
"fax_number": "314-747-5866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 MANCHESTER AVE.",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63110",
"telephone_number": "314-747-5000",
"fax_number": "314-747-5866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKELS",
"first_name": "MAUREEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-21",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MO",
"license": "01545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.