Provider Demographics
NPI:1437265246
Name:PATE, ALISON A (PT)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:A
Last Name:PATE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:ALISON
Other - Middle Name:A
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:263 CENTRE POINTE DRIVE
Mailing Address - Street 2:
Mailing Address - City:ST. PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-7300
Mailing Address - Country:US
Mailing Address - Phone:636-441-7500
Mailing Address - Fax:636-441-3004
Practice Address - Street 1:263 CENTRE POINTE DRIVE
Practice Address - Street 2:
Practice Address - City:ST. PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-7300
Practice Address - Country:US
Practice Address - Phone:636-441-7500
Practice Address - Fax:636-441-3004
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO115366225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO219861802Medicare ID - Type UnspecifiedCMS PROV.#