Active NPI
Joseph Cardon
- Physical Therapist
- Saint Louis, MO
National Provider Identifier
1952432395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 105032
- Practice address
- 12110 Clayton Rd
Saint Louis, MO 63131-2516 - Phone
- (314) 989-8150
- NPI assigned
- Mar 8, 2007
- Last updated
- Jun 19, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 105032 | MO | Primary |
| Physical Therapist | 225100000X | 070.017455 | IL |
Addresses
Primary practice location
12110 Clayton Rd
Saint Louis, MO 63131-2516
Mailing address
12110 Clayton Rd
Saint Louis, MO 63131-2516
Phone (314) 989-8150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 Hilltop Village Ctr Dr
Eureka, MO 63025-1219
Phone (314) 517-7669
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.017455 | IL | MD | Physical Therapist |
| 105032 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Rehab and Wellness, LLC | Physical Therapist | Current | Accepting new patients |
| Special School District of St. Louis County | Past | Accepting new patients |
Locations
845 N New Ballas Ct
Ste 310
Saint Louis, MO 63141
Phone (314) 692-0221
Organizations & group practices 2
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.
-
- Physical Therapist
- Weldon Spring, MO
- NPI 1144867086
-
- Local Education Agency (LEA)
- Saint Louis, MO
- NPI 1922128354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371600000000",
"number": "1952432395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12110 CLAYTON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312516",
"telephone_number": "314-989-8150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12110 CLAYTON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312516",
"telephone_number": "314-989-8150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDON",
"first_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2013-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "105032",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.017455",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 19, 2013; 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.