DINAH WITHERSPOON DPT, PT, MHA, CGCM
NPI 1467394379
Physical Therapist in O Fallon, MO

Active since April 08, 2026
117 DUSTY ROSE DR, O FALLON, MO 63368(636) 747-4263(636) 294-6893 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dinah Witherspoon Dpt, Pt, Mha, Cgcm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DINAH WITHERSPOON DPT, PT, MHA, CGCM (NPI 1467394379) is an individual physical therapist in O Fallon, Missouri, licensed in Missouri (103530) and active in the NPI registry since April 2026. She is a graduate of Other (2011).

NPPES Registry Identity

NPI1467394379
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameDINAH WITHERSPOONCredential: DPT, PT, MHA, CGCM
Location Address117 DUSTY ROSE DRO Fallon, MO 63368-6879
Mailing Address117 Dusty Rose DrO Fallon, MO 63368-6879 · (636) 747-4263 · Fax (636) 294-6893
Fax(636) 294-6893
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 8, 2026
NPPES CertifiedApril 8, 2026
✔ NPI 1467394379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MO · 103530
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
117 DUSTY ROSE DR, O Fallon, MO 63368

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dinah Witherspoon Dpt, Pt, Mha, Cgcm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567687452
PECOS Enrollment IDI20260514000496

Medicare Billing Reassignment

Medicare enrollment records show Dinah Witherspoon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
117 DUSTY ROSE DR
O Fallon, MO 63368
  • Reassigned Medicare billing, Missouri enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
117 DUSTY ROSE DR
O FALLON, MO 63368

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dinah Witherspoon's NPI number?

The NPI number for Dinah Witherspoon is 1467394379. It was assigned to this individual provider in the NPPES registry on April 8, 2026.

Where is Dinah Witherspoon located?

Dinah Witherspoon practices at 117 Dusty Rose Dr, O Fallon, MO 63368. The listed phone number is (636) 747-4263.

What is Dinah Witherspoon's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Dinah Witherspoon enrolled in Medicare?

Yes. Dinah Witherspoon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dinah Witherspoon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dinah Witherspoon reassigns Medicare benefits to Gateway To Care Management LLC (O Fallon, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dinah Witherspoon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dinah Witherspoon was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.