MEDICARE: DR. GENEVIEVE SAMANTHA GITTEMEIER PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2026024312	MO

General Provider Information

NPI Number	:	1356276448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GENEVIEVE SAMANTHA GITTEMEIER PT, DPT

Provider Business Mailing Address
First Line	:	13220 WEATHERFIELD DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-3674
Country	:	US
Telephone Number	:	573-825-7240
Fax Number	:

Provider Business Practice Location Address
First Line	:	4444 FOREST PARK AVE # 1210
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-2212
Country	:	US
Telephone Number	:	314-286-1940
Fax Number	:	314-286-1473

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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