DR. MARYBETH PEREIRA MD NPI 1053407270

NPI Information

  • NPI: 1053407270
  • Provider Name: DR. MARYBETH PEREIRA, MD
  • Classification: Rehabilitation Practitioner - 225400000X
  • Entity Type: Individual
  • Address: 1 JEFFERSON BARRACKS
    DRJEFFERSON BARRACKS VA MEDICAL CENTER
    ST LOUIS, MO
    ZIP 63125
  • Phone: (314) 894-6677

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NPI Details

DR. Marybeth Pereira, MD is a rehabilitation practitioner in St Louis, MO. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. DR. Marybeth Pereira, MD NPI is 1053407270. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 JEFFERSON BARRACKS
DRJEFFERSON BARRACKS VA MEDICAL CENTER
ST LOUIS, MO
ZIP 63125-199
Phone: (314) 894-6677
Fax: (314) 845-5039

The enumeration date for this NPI number is 10/5/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225400000XRehabilitation PractitionerR9667MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1VAD000MEDICARE UPINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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