Healthcare Provider Details

I. General information

NPI: 1558200543
Provider Name (Legal Business Name): ATR JOHN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 BARRETT STATION RD
DES PERES MO
63131-1606
US

IV. Provider business mailing address

14515 N OUTER 40 RD STE 110
CHESTERFIELD MO
63017-5746
US

V. Phone/Fax

Practice location:
  • Phone: 314-434-8680
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JAMES HOFMAN
Title or Position: MANAGING MEMBER
Credential:
Phone: 314-434-8680