Active NPI
Ryan K Noirfalise, MPT
- Orthopedic Physical Therapist
- Chesterfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2004002569
- Practice address
- 17363 Edison Ave
Chesterfield, MO 63005-1250 - Phone
- (636) 346-1371
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 2004002569 | MO | Primary |
Addresses
Primary practice location
17363 Edison Ave
Chesterfield, MO 63005-1250
Mailing address
17363 Edison Ave
Chesterfield, MO 63005-1250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15884 Manchester Rd
Ellisville, MO 63011-2208
Phone (636) 220-9335
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004002569 | MO | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Missouri Physical Therapy LLC | Orthopedic | Current | Accepting new patients |
Locations
17363 Edison Ave
Chesterfield, MO 63005
Phone (314) 200-5032
3301 Berrywood Dr
Ste 204
Columbia, MO 65201
Phone (573) 374-7579
15884 Manchester Rd
Ellisville, MO 63011
Phone (636) 220-9335
425 N New Ballas Rd
Ste 202
Saint Louis, MO 63141
Phone (314) 991-2562
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1992730584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17363 EDISON AVE",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630051250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17363 EDISON AVE",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630051250",
"telephone_number": "636-346-1371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOIRFALISE",
"first_name": "RYAN",
"middle_name": "K",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MO",
"license": "2004002569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.