St Clair Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

02070 Issued in MO

Legal business name

ST CLAIR PHYSICAL THERAPY INC

Practice address

1135 N Commercial Ave
Saint Clair, MO 63077-1012

Phone

(636) 629-8110

NPI assigned

Oct 13, 2010

Last updated

Oct 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kamil DostalikNPI 1487869368

Title

President

Phone

(636) 629-8110

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kamil Dostalik, PT

  • Physical Therapist
  • Saint Clair, MO
  • NPI 1487869368
  Authorized official Same address or phone

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1982914818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "SAINT CLAIR",
            "state": "MO",
            "postal_code": "630770365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 N COMMERCIAL AVE",
            "city": "SAINT CLAIR",
            "state": "MO",
            "postal_code": "630771012",
            "telephone_number": "636-629-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLAIR PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "DOSTALIK",
        "authorized_official_first_name": "KAMIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-629-8110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "02070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Slater, COTA/L
• Patrick Raymond Smith, M.D.
• St Clair Allergy-Asthma
• St Clair Family Dentistry
• St Clair Nursing LLC (St Clair Nursing Center)
• St Clair Rexall Drug Store (St. Clair Health Mart Pharmacy)
• St. Clair Ambulance District
• St. Clair Reorganized District R-Xiii
• Jennifer Kaye Stenger, OTR
• Town and Country Mobility Inc.

• Physical Therapy Clinic/Center in Saint Clair, MO
• Providers in Saint Clair, MO by specialty
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.