MEDICARE: DINAH WITHERSPOON DPT, PT, MHA, CGCM

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	103530	MO

General Provider Information

NPI Number	:	1467394379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DINAH WITHERSPOON DPT, PT, MHA, CGCM

Provider Business Mailing Address
First Line	:	117 DUSTY ROSE DR
Second Line	:
City	:	O FALLON
State	:	MO
Zip	:	63368-6879
Country	:	US
Telephone Number	:	636-747-4263
Fax Number	:	636-294-6893

Provider Business Practice Location Address
First Line	:	117 DUSTY ROSE DR
Second Line	:
City	:	O FALLON
State	:	MO
Zip	:	63368-6879
Country	:	US
Telephone Number	:	636-747-4263
Fax Number	:	636-294-6893

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

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

Similar Medicare Providers

1972450336 — GATEWAY TO CARE MANAGEMENT
Practice Location Address:

117 DUSTY ROSE DR
O FALLON, MO
63368-6879

Practice Phone: 636-747-4263
Practice Fax: 636-294-6893

1700306867 — DR. JONATHAN PAUL WILLIAMS MD
Practice Location Address:

20 PROGRESS POINT PKWY STE 200
O FALLON, MO
63368-2207

Practice Phone: 636-916-7060
Practice Fax: 636-916-9421

1659761716 — DR. BRADLY GOULD DC
Practice Location Address:

2917 HIGHWAY K
O FALLON, MO
63368-7979

Practice Phone: 636-379-9105
Practice Fax:

1760954952 — MR. MATTHEW DAVID TELMER FNP
Practice Location Address:

20 PROGRESS POINT PKWY STE 206
O FALLON, MO
63368-2207

Practice Phone: 636-344-1073
Practice Fax:

1366384869 — ABINAV JYOTIS
Practice Location Address:

6937 BRASSEL DR
O FALLON, MO
63368-7147

Practice Phone: 636-497-5037
Practice Fax:

1417732033 — MRS. KEATON ELAINE COLEMAN LCSW
Practice Location Address:

4663 HIGHWAY K
O FALLON, MO
63368-8690

Practice Phone: 636-538-8619
Practice Fax:

Directions to “ DINAH WITHERSPOON DPT, PT, MHA, CGCM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.