Individual provider Active NPI

Taylor Shae Cobbel, PT, DPT, MBA

  • Physical Therapist
  • Oakville, MO
National Provider Identifier
1942879010
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4418 Telegraph Rd
Oakville, MO 63129-3316
Phone
(314) 894-2222
NPI assigned
Jun 22, 2021
Last updated
Jun 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

4418 Telegraph Rd
Oakville, MO 63129-3316

Mailing address

5508 Lindenwood Ave
Saint Louis, MO 63109-1505
Phone (217) 494-8369

Other names 1

  • Taylor Shae Wernsing Former name

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
Credentials
Master of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
FLS Physical Therapy Associates PC Physical Therapist CurrentSince Jun 27, 2021 Accepting new patients

Locations

4418 Telegraph Rd
Saint Louis, MO 63129
Phone (314) 894-2222

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1942879010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5508 LINDENWOOD AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091505",
            "telephone_number": "217-494-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 TELEGRAPH RD",
            "city": "OAKVILLE",
            "state": "MO",
            "postal_code": "631293316",
            "telephone_number": "314-894-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBBEL",
        "first_name": "TAYLOR",
        "middle_name": "SHAE",
        "credential": "PT, DPT, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "WERNSING",
            "middle_name": "SHAE",
            "credential": "PT, DPT, MBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.

Verify at the official NPI Registry.