BRENTWOOD PHYSICAL THERAPY LIMITED (NPI# 1336122266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336122266 |
| Entity Type | Organization |
| Organization Name | BRENTWOOD PHYSICAL THERAPY LIMITED |
| Other Organization Name | BRENTWOOD CENTER OF HEALTH |
| Practice Address |
2558 S Brentwood Blvd Saint Louis MO 63144-2309 |
| Practice Telephone | 3149618940 |
| Practice Fax Number | 3149618969 |
| Mailing Telephone | 3149618940 |
| Mailing Fax Number | 3149618969 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2013-02-03 |
| Authorized Official Name | MR. ROBERT SHAWN TUCKER (PRESIDENT) |
| Authorized Official Telephone | 3149618940 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS | 31348 | 01 |
| Other Name | Type Code |
|---|---|
| Brentwood Center Of Health | Doing Business As Name - Organization |
| Street Address |
2558 S BRENTWOOD BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63144-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609307776 | Creative Wellness, LLC | Clinic/Center | 2558 S Brentwood Blvd, Saint Louis, MO 63144-2309 | 2017-03-21 |
| 1558488528 | Brian J Harasha | Chiropractor | 2558 S Brentwood Blvd, Saint Louis, MO 63144-2309 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730681214 | Patrick Kojima | Pharmacist | 1520 S. Brentwood Blvd, Saint Louis, MO 63144 | 2018-03-01 |
| 1104257385 | Karen Misty Thornton | Counselor | 1750 S Brentwood Blvd Ste 503, Saint Louis, MO 63144 | 2013-12-12 |
| 1386804433 | Lisa Marie Ross | Social Worker | 2025 S Brentwood, Suite 206, St Louis, MO 63144 | 2008-06-12 |
| 1568667665 | St. Joseph Institute for The Deaf | Speech-Language Pathologist | 1314 Strassner, Brentwood, MO 63144 | 2007-06-19 |
| 1720292030 | Albert A Barton | Social Worker | 2806 S Brentwood Blvdd, St Louis, MO 63144 | 2007-05-09 |
| 1083736243 | Gary Jean Jameson | Chiropractor | 2901 S Brentwood Blvd, St Louis, MO 63144 | 2007-04-06 |
| 1649340662 | Lindsay Michelle Ledbetter | Physical Therapist | 8228 Brentwood Industrial Drive, Brentwood, MO 63144 | 2006-11-08 |
| 1316041627 | Jandhyala Satya Sagar | Internal Medicine | 1400 Strassner Rd, Brentwood, MO 63144 | 2006-09-08 |
| 1396855326 | Jane E Loitman | Internal Medicine | 8044 Manchester Rd, Saint Louis, MO 63144 | 2006-08-31 |
| 1164532289 | Jayne M Scanlan | Physical Therapist | 2937 South Brentwood Blvd, Brentwood, MO 63144 | 2006-08-30 |
| Find all providers in zip 63144 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053820175 | Prorehab PC | Clinic/Center | 11525 Olde Cabin Rd Ste 1, Saint Louis, MO 63141-7146 | 2017-09-20 |
| 1811447840 | Crystal Cunetto | Clinic/Center | 1114 Ridgelynn Dr, Saint Louis, MO 63124-1220 | 2016-10-13 |
| 1720429558 | Missouri Physical Therapy LLC | Clinic/Center | 9751 Clayton Rd, Saint Louis, MO 63124-1503 | 2013-07-09 |
| 1205067857 | Therapeutic Innovations Lc | Clinic/Center | 563 Cliff Cave Rd, Saint Louis, MO 63129-4415 | 2009-07-30 |
| 1639200074 | Occupational Health Centers of Kansas Pa | Clinic/Center | 1617 S 3rd St, Saint Louis, MO 63104-3839 | 2007-03-08 |
| 1629109087 | Occupational Health Centers of Kansas Pa | Clinic/Center | 8340 N Broadway, Saint Louis, MO 63147-2333 | 2007-03-08 |
| 1194778183 | Prorehab, PC | Clinic/Center | 3726 S Kingshighway Blvd, Saint Louis, MO 63109-1800 | 2006-05-18 |
| 1124071238 | Prorehab, PC | Clinic/Center | 107 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307 | 2006-05-18 |
| 1699269928 | Physical Therapy Collective, LLC | Clinic/Center | 4642 Shenandoah Ave, Saint Louis, MO 63110-3424 | 2018-06-20 |
| 1518476548 | Prorehab PC | Clinic/Center | 12855 N 40 Dr Ste 375, Saint Louis, MO 63141-8657 | 2017-09-21 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63144 |
Please comment or provide details below to improve the information on BRENTWOOD PHYSICAL THERAPY LIMITED.
| 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.