Anita Farris Altemeyer, PT
Individual provider Active NPI Physical Therapist · St Clair, MO
NPI 1962664052 · NPPES record last updated Jun 1, 2010
Key facts
- NPI
- 1962664052
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2007034421 (MO)
- Practice address
- 214 Hartman Place
St Clair, MO 63077 - Phone
- (636) 629-9826
- Fax
- (636) 467-7094
- NPI assigned
- Jun 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
55 Nesbit Dr
Bonne Terre, MO 63628-1353
Phone (573) 358-9553
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200624001380 | MO | Practitioner - Physical Therapist in Private Practice | 4587086350 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007034421 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potential Therapy Services LLC | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2007034421 | MO | Yes |
Addresses
Primary practice location
214 Hartman Place
St Clair, MO 63077
Mailing address
210 Eldon St
Cuba, MO 65453-1642
Other providers in St Clair, MO
- Advanced Physical Therapy & Fitness LLC
- All in Chiropractic Care PC
- Americare at Victorian Manor of St. Clair, LLC
- Attending Angels Home Care
- Attending Angels Home Care
- Attending Angels Home Care LLC
- Laurie Ann Aubuchon
All providers in St Clair, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.