MRS. PAMELA MICHELLE MACON MPT
NPI 1467597153
Physical Therapist - Pediatrics in Maryland Heights, MO

Q: What is Pamela Macon's NPI number?

The NPI number for Pamela Macon is 1467597153. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Q: What is Pamela Macon's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Q: When was this NPI record last updated?

The NPPES record for Pamela Macon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.

Active since February 20, 2007

11365 DORSETT RD, MARYLAND HEIGHTS, MO 63043(314) 872-6440 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Pamela Michelle Macon Mpt NPPES

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

MRS. PAMELA MICHELLE MACON MPT (NPI 1467597153) is an individual pediatrics provider in Maryland Heights, Missouri, licensed in Missouri (112634) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1467597153

Entity TypeIndividualFemale

Primary Taxonomy2251P0200X

Provider Legal NameMRS. PAMELA MICHELLE MACONCredential: MPT

Location Address11365 DORSETT RDMaryland Heights, MO 63043-3411

Mailing Address5 Irene CtDes Peres, MO 63131-4141 · (314) 568-7822

Phone(314) 872-6440

Sole ProprietorYes

Enumeration DateFebruary 20, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1467597153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251P0200X

License✔ Licensed in MO · 112634

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

11365 DORSETT RD, Maryland Heights, MO 63043

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Other Providers at the Same Location NPPES 20

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

MICHELLE L PIOLE CPNP

Nurse Practitioner (Pediatrics)