AXES PHYSICAL THERAPY, LLC (NPI# 1942861190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942861190 |
| Entity Type | Organization |
| Organization Name | AXES PHYSICAL THERAPY, LLC |
| Practice Address |
1155 Hazel Ln Farmington MO 63640-1920 |
| Mailing Address |
4273 Keaton Crossing Blvd O Fallon MO 63368-8220 |
| Practice Telephone | 5737562937 |
| Mailing Telephone | 6362064225 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |
| Authorized Official Name | JOHN TEEPE (PARTNER) |
| Authorized Official Telephone | 3147642230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Axes Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312241 | Axes Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 7483 Mexico Rd, Saint Peters, MO 63376-1304 | 2020-10-01 |
| 1942822549 | Axes Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 213 Village Square Shop Ctr, Hazelwood, MO 63042-1838 | 2020-05-18 |
| 1720540313 | Axes Physical Therapy, LLC | Prosthetic/Orthotic Supplier | 754 Luetkenhaus Blvd, Wentzville, MO 63385-3515 | 2019-04-02 |
| 1003280421 | Axes Physical Therapy, LLC | Clinic/Center | 4273 Keaton Crossing Blvd, O Fallon, MO 63368-8220 | 2015-11-23 |
| 1326609645 | Axes Physical Therapy, LLC | Prosthetic/Orthotic Supplier | 21 Silo Dr, Union, MO 63084-4917 | 2019-06-26 |
| 1295297885 | Axes Physical Therapy, LLC | Prosthetic/Orthotic Supplier | 4131 Union Rd, Saint Louis, MO 63129-1064 | 2019-04-02 |
| 1508330994 | Axes Physical Therapy, LLC | Prosthetic/Orthotic Supplier | 4273 Keaton Crossing Blvd, O Fallon, MO 63368-8220 | 2019-01-18 |
| 1801363270 | Axes Physical Therapy, LLC | Prosthetic/Orthotic Supplier | 336 Festus Centre Dr, Festus, MO 63028-2458 | 2018-10-24 |
| 1235610916 | Axes Physical Therapy, LLC | Prosthetic/Orthotic Supplier | 336 Festus Centre Dr, Festus, MO 63028-2458 | 2018-08-22 |
| Street Address |
1155 HAZEL LN |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215454285 | Lauren R Coureton | Physical Therapist | 1155 Hazel Ln, Farmington, MO 63640-1920 | 2017-08-29 |
| 1811452675 | Eric Meyer | Physical Therapist | 1155 Hazel Ln, Farmington, MO 63640-1920 | 2019-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437398377 | Cape Prosthetics-orthotics, Inc | Prosthetic/Orthotic Supplier | 728 Sunset Dr, Farmington, MO 63640-1988 | 2009-02-17 |
| 1558581603 | Rocky Mountain Artificial Limb and Brace Inc | Prosthetic/Orthotic Supplier | 307 S Lake St, Farmington, NM 87401-5619 | 2007-04-30 |
| 1881794675 | Cobb Prosthetics, LLC | Prosthetic/Orthotic Supplier | 833 Weber Rd., Farmington, MO 63640 | 2006-09-22 |
| 1396756987 | Four Corners Artificial Limb & Brace | Prosthetic/Orthotic Supplier | 750 W Animas St, Farmington, NM 87401-5617 | 2006-08-10 |
| 1780600171 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 600 Westfarms Mall, Farmington, CT 06032-2635 | 2006-07-15 |
| 1851849665 | Arrow Prescription Center #15 | Prosthetic/Orthotic Supplier | 263 Farmington Ave, 1st Floor, Farmington, CT 06032-1956 | 2016-09-21 |
| 1730359811 | The Leona Corp | Prosthetic/Orthotic Supplier | 270 Farmington Ave, Suite 103, Farmington, CT 06032-1909 | 2008-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355689 | Hair On The Edge | Prosthetic/Orthotic Supplier | 9708 Lackland Rd, Overland, MO 63114-3414 | 2020-10-28 |
| 1427656727 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 755 S New Ballas Rd Ste 140, Saint Louis, MO 63141-8713 | 2020-10-09 |
| 1437783776 | Mager & Gougelman of St. Louis, LLC | Prosthetic/Orthotic Supplier | 1034 S Brentwood Blvd Ste 1880, Richmond Heights, MO 63117-1218 | 2020-02-25 |
| 1962042440 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 9665 Page Avenue, Overland, MO 63132 | 2020-01-13 |
| 1407496201 | Ortheco LLC | Prosthetic/Orthotic Supplier | 2907 Independence St Ste D, Cape Girardeau, MO 63703-5027 | 2020-01-09 |
| 1477100717 | Desirae Clark | Prosthetic/Orthotic Supplier | 5100 Lydia Ave, Kansas City, MO 64110-2608 | 2019-08-21 |
| 1720540313 | Axes Physical Therapy, LLC | Prosthetic/Orthotic Supplier | 754 Luetkenhaus Blvd, Wentzville, MO 63385-3515 | 2019-04-02 |
| 1093272460 | Axes Physical Therapy I, LLC | Prosthetic/Orthotic Supplier | 2018 Phoenix Center Dr, Washington, MO 63090-5544 | 2019-02-21 |
| 1215400312 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 4801 Main St Ste 220, Kansas City, MO 64112-2929 | 2019-01-10 |
| 1649778382 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 50 Crestwood Executive Ctr Ste 315, Saint Louis, MO 63126-1900 | 2018-01-29 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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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.