PHYSICAL THERAPY SPINE & SPORTS MEDICINE LLC NPI 1194454090

NPI Information

  • NPI: 1194454090
  • Provider Name: PHYSICAL THERAPY SPINE & SPORTS MEDICINE LLC
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Doing Business As: CORA PHYSICAL THERAPY - ST. PETERS
  • Address: 2046 QUEENS BROOKE BLVD
    SUITE 101
    ST. PETERS, MO
    ZIP 63376
  • Phone: (419) 221-6717

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NPI Details

PHYSICAL THERAPY SPINE & SPORTS MEDICINE LLC is a rehabilitation clinic center in St. Peters, MO. PHYSICAL THERAPY SPINE & SPORTS MEDICINE LLC NPI is 1194454090. The provider is registered as an organization entity type.
The provider Is Doing Business As Cora Physical Therapy - St. Peters.

The provider's business location address is:

2046 QUEENS BROOKE BLVD
SUITE 101
ST. PETERS, MO
ZIP 63376-852
Phone: (419) 221-6717
Fax: (419) 222-0507

The provider's authorized official is Stephen Krzyminski .
The authorized official title is Senior Vp and has the following contact phone number (419) 221-6717.

The enumeration date for this NPI number is 6/7/2022 and was last updated on 10/19/2023.

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
1261QR0400XClinic/CenterRehabilitationYes

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: 3/30/2025

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