Provider Demographics
NPI:1912762543
Name:SPRINGER PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:SPRINGER PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:SPRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:636-244-8248
Mailing Address - Street 1:16141 SWINGLEY RIDGE RD STE 210
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-1780
Mailing Address - Country:US
Mailing Address - Phone:636-244-8248
Mailing Address - Fax:636-778-9343
Practice Address - Street 1:16141 SWINGLEY RIDGE RD STE 210
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-1780
Practice Address - Country:US
Practice Address - Phone:636-244-8248
Practice Address - Fax:636-778-9343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty