Olive Branch Pediatric Specialties LLC

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Legal business name

OLIVE BRANCH PEDIATRIC SPECIALTIES LLC

Practice address

21450 Highway 32 Ste a
Ste Genevieve, MO 63670-8814

Phone

(573) 535-1061

NPI assigned

Jun 22, 2026

Organization subpart

No

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

Authorized official

Name

Jenna Sue Kuehn, PTANPI 1770321077

Title

Owner

Phone

(573) 535-1061

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.

• Jenna Kuehn, PTA

  • Physical Therapy Assistant
  • Ste Genevieve, MO
  • NPI 1770321077
  NPD (past) Authorized official

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1992631626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11875 SCHULZE LN",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636708816",
            "telephone_number": "573-535-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21450 HIGHWAY 32 STE A",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636708814",
            "telephone_number": "573-535-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH PEDIATRIC SPECIALTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-21",
        "status": "A",
        "authorized_official_last_name": "KUEHN",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-535-1061",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Naeger
• Solomon Noguera, M.D.
• Jordan Noland, PT, DPT
• Susan O'Donnell, MD
• William J Odneal
• Osman LLC
• Osman LLC
• Hayley Pardoe, DPT
• Pec STG LLC
• Christina Marie Peters, CNP

• Physical Therapy Assistant in Ste Genevieve, MO
• Providers in Ste Genevieve, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.