MRS. JENNIFER MASSIMINO
NPI 1649840711
Physical Therapist - Pediatrics in Saint Louis, MO

Active since June 30, 2021
801 N 11TH ST, SAINT LOUIS, MO 63101(314) 633-5300 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2024, Jun 30, 2021 (2 updates tracked since 2021).

About Mrs. Jennifer Massimino NPPES

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

MRS. JENNIFER MASSIMINO (NPI 1649840711) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (118744) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1649840711
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameMRS. JENNIFER MASSIMINO
Location Address801 N 11TH STSaint Louis, MO 63101-1015
Mailing Address12856 Haw Thicket LnSaint Louis, MO 63131-2132 · (314) 821-1953
Sole ProprietorYes
Enumeration DateJune 30, 2021
Last NPPES UpdateNovember 7, 20242 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
NPI 1649840711 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 · 118744
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.
801 N 11TH ST, Saint Louis, MO 63101

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.

Speech-Language Pathologist
801 N 11TH ST
SAINT LOUIS, MO 63101
Occupational Therapist
801 N 11TH ST, MEDICAID DEPT
SAINT LOUIS, MO 63101
Speech-Language Pathologist
801 N 11TH ST
SAINT LOUIS, MO 63101
Occupational Therapist (Pediatrics)
801 N 11TH ST
SAINT LOUIS, MO 63101
Occupational Therapist (Pediatrics)
801 N 11TH ST, MEDICAID DEPARTMENT
SAINT LOUIS, MO 63101
Occupational Therapist
801 N 11TH ST
SAINT LOUIS, MO 63101
Speech-Language Pathologist
801 N 11TH ST
SAINT LOUIS, MO 63101
Occupational Therapist
801 N 11TH ST
SAINT LOUIS, MO 63101

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 Jennifer Massimino's NPI number?

The NPI number for Jennifer Massimino is 1649840711. It was assigned to this individual provider in the NPPES registry on June 30, 2021.

Where is Jennifer Massimino located?

Jennifer Massimino practices at 801 N 11th St, Saint Louis, MO 63101. The listed phone number is (314) 633-5300.

What is Jennifer Massimino's specialty?

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

When was this NPI record last updated?

The NPPES record for Jennifer Massimino was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.