PHYSICAL THERAPY COLLECTIVE, LLC
NPI 1699269928
Clinic/Center - Physical Therapy in Saint Louis, MO

Active since June 20, 2018
4642 SHENANDOAH AVE, SAINT LOUIS, MO 63110(314) 664-6400(314) 664-6401 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Physical Therapy Collective, Llc NPPES

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

PHYSICAL THERAPY COLLECTIVE, LLC (NPI 1699269928) is a healthcare organization registered as a physical therapy in Saint Louis, Missouri and active in the NPI registry since June 2018. The organization lists Mary Lucille Cooley, Owner/ Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1699269928
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NamePHYSICAL THERAPY COLLECTIVE, LLC
Location Address4642 SHENANDOAH AVESaint Louis, MO 63110-3424
Mailing Address3830 Humphrey StSaint Louis, MO 63116-4826 · (801) 550-0373
Fax(314) 664-6401
Organization SubpartNo
Authorized OfficialMary Lucille CooleyOwner/ Physical Therapist · (801) 550-0373
Enumeration DateJune 20, 2018
NPI 1699269928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License Licensed in MO · LC001588222
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
4642 SHENANDOAH AVE, Saint Louis, MO 63110

Other Identifiers 1

Medicaid161122142605024MO

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
4642 SHENANDOAH AVE
SAINT LOUIS, MO 63110

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 Physical Therapy Collective, LLC's NPI number?

The NPI number for Physical Therapy Collective, LLC is 1699269928. It was assigned to this organization in the NPPES registry on June 20, 2018.

Where is Physical Therapy Collective, LLC located?

Physical Therapy Collective, LLC is located at 4642 Shenandoah Ave, Saint Louis, MO 63110. The listed phone number is (314) 664-6400.

What is Physical Therapy Collective, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Physical Therapy Collective, LLC was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.