Active NPI
Jaime Lynn Uglum, PT
- Physical Therapist
- Saint Louis, MO
National Provider Identifier
1982810784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2006021622
- Practice address
- 3520 Chouteau Ave
Saint Louis, MO 63103-2916 - Phone
- (314) 633-5837
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2006021622 | MO | Primary |
Addresses
Primary practice location
3520 Chouteau Ave
Saint Louis, MO 63103-2916
Mailing address
7479 Hardscrapple Dr
Apt B
Saint Louis, MO 63123-1346
Phone (314) 842-4689
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 |
|---|---|---|---|
| 2006021622 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982810784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7479 HARDSCRAPPLE DR",
"address_2": "APT B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631231346",
"telephone_number": "314-842-4689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 CHOUTEAU AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631032916",
"telephone_number": "314-633-5837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UGLUM",
"first_name": "JAIME",
"middle_name": "LYNN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2006021622",
"primary": true
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.