Individual provider Active NPI

Anita Farris Altemeyer, PT

  • Physical Therapist
  • Saint Clair, MO
National Provider Identifier
1962664052
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2007034421 Issued in MO
Practice address
214 Hartman Place
St Clair, MO 63077
Phone
(636) 629-9826
Fax
(636) 467-7094
NPI assigned
Jun 30, 2008
Last updated
Jun 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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 2007034421 MO Primary

Addresses

Primary practice location

214 Hartman Place
St Clair, MO 63077

Mailing address

210 Eldon St
Cuba, MO 65453-1642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200624001380 MO Practitioner - Physical Therapist in Private Practice 4587086350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Potential Therapy Services LLCGroup PAC ID 5890065361, 12 clinicians

Practice addresses (Care Compare)

55 Nesbit Dr
Bonne Terre, MO 63628-1353
Phone (573) 358-9553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Potential Therapy Services LLC CurrentSince May 8, 2020 Accepting new patients

Locations

55 Nesbit Dr
Bonne Terre, MO 63628
Phone (573) 358-1700

2308 N Truman Blvd
Crystal City, MO 63019
Phone (636) 206-6070

60 Plaza Dr
Ste Genevieve, MO 63670
Phone (573) 608-5058

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1962664052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 ELDON ST",
            "city": "CUBA",
            "state": "MO",
            "postal_code": "654531642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 HARTMAN PLACE",
            "city": "ST CLAIR",
            "state": "MO",
            "postal_code": "63077",
            "telephone_number": "636-629-9826",
            "fax_number": "636-467-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTEMEYER",
        "first_name": "ANITA",
        "middle_name": "FARRIS",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2007034421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.