TISH S. KETTLER (NPI# 1154867042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154867042 |
| Entity Type | Individual |
| Full Name | TISH S. KETTLER |
| Credential | MSPT |
| Practice Address |
7700 Clayton Rd Suite 311 Saint Louis MO 63117-1328 |
| Practice Telephone | 3142836936 |
| Mailing Telephone | 3142836936 |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 070.010801 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | 114355 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7700 CLAYTON RD SUITE 311 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-1328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316935711 | David I. Berland | Psychiatry & Neurology | 7700 Clayton Rd, Suite 103, Saint Louis, MO 63117-1328 | 2005-10-10 |
| 1376995365 | Killeen Counseling and Associates | Counselor | 7700 Clayton Rd, 303, Saint Louis, MO 63117-1328 | 2016-07-01 |
| 1376999771 | Maria Montserrat Gonzalez | Acupuncturist | 7700 Clayton Rd, Suite 319, Saint Louis, MO 63117-1328 | 2016-05-04 |
| 1336430321 | Edward Killeen | Counselor | 7700 Clayton Rd, Suite 303, Saint Louis, MO 63117-1328 | 2011-04-25 |
| 1578869889 | Killeen Counseling Services, LLC | Counselor | 7700 Clayton Rd, Suite 303, Saint Louis, MO 63117-1328 | 2011-02-03 |
| 1528385671 | Carol Dyer, Inc | Psychologist | 7700 Clayton Rd, Suite 103, Saint Louis, MO 63117-1328 | 2010-04-29 |
| 1124206768 | Tracey Marks Fink | Chiropractor | 7700 Clayton Rd, Suite 204, Saint Louis, MO 63117-1328 | 2008-02-06 |
| 1346443470 | Lisa Renee Emmenegger | Psychologist | 7700 Clayton Rd, Suite 309, Saint Louis, MO 63117-1328 | 2007-06-06 |
| 1639389265 | Rosette Marie Signorelli | Counselor | 7700 Clayton Rd, Suite 309, Saint Louis, MO 63117-1328 | 2007-05-23 |
| 1861609422 | Helen R. Mcglynn | Counselor | 7700 Clayton Rd, Ste. 210, Saint Louis, MO 63117-1328 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484383 | Ryan Luis Adkins | Physical Therapist | 4444 Forest Park Ave Unit 1210, Saint Louis, MO 63108-2212 | 2020-10-15 |
| 1548867583 | Ryan Joseph Terstriep | Physical Therapist | 12639 Old Tesson Rd Ste 120, Saint Louis, MO 63128-2786 | 2020-10-02 |
| 1588261754 | Laurie Susan Altobella | Physical Therapist | 9082 Fernald Dr, Saint Louis, MO 63123-2005 | 2020-10-01 |
| 1720694607 | Rebecca Won | Physical Therapist | 2705 Dougherty Ferry Rd Ste 104, Saint Louis, MO 63122-3372 | 2020-09-16 |
| 1417562133 | Joseph Edward Zacher | Physical Therapist | 6027 Eitman Ave, Saint Louis, MO 63139-2810 | 2020-09-10 |
| 1114538097 | Prorehab PC | Physical Therapist | 3156 Telegraph Rd, Saint Louis, MO 63125-5500 | 2020-08-13 |
| 1710597547 | Alexander C Butler | Physical Therapist | 9560 Watson Rd Ste D, Saint Louis, MO 63126-1541 | 2020-08-06 |
| 1215560834 | Jerline Tuggle | Physical Therapist | 1310 Papin St Ste 109, Saint Louis, MO 63103-3132 | 2020-02-21 |
| 1639725088 | Shelby Ann Kroeger | Physical Therapist | 29 Ronnie's Plaza, Saint Louis, MO 63126 | 2019-08-12 |
| 1023661915 | Connor Pratt | Physical Therapist | 635 Locust St Unit 116, Saint Louis, MO 63101-1700 | 2019-07-19 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.