MEDICARE: PRO-MOTION PT LLC

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	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	225100000X	Physical Therapist	2007028770	MO

General Provider Information

NPI Number	:	1558652644
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRO-MOTION PT LLC

Provider Business Mailing Address
First Line	:	3943 JUNIATA ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63116-3911
Country	:	US
Telephone Number	:	314-686-3008
Fax Number	:

Provider Business Practice Location Address
First Line	:	4642 SHENANDOAH AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-3424
Country	:	US
Telephone Number	:	314-686-3008
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICAL THERAPIST
Name	:	MR. AZHAR SHAH
Credential	:	MSPT
Telephone Number	:	314-686-3008

Provider Enumeration Date	:	04/25/2011
Last Update Date	:	04/25/2011

Similar Medicare Providers

1699269928 — PHYSICAL THERAPY COLLECTIVE, LLC
Practice Location Address:

4642 SHENANDOAH AVE
SAINT LOUIS, MO
63110-3424

Practice Phone: 314-664-6400
Practice Fax: 314-664-6401

1740412923 — CHERYL KING LPC
Practice Location Address:

1420 LOUISVILLE AVE
SAINT LOUIS, MO
63139-3424

Practice Phone: 251-533-3620
Practice Fax:

1740837236 — LOVING JEWELS HOMEHEALTH CARE LLC
Practice Location Address:

10201 LILAC AVE
SAINT LOUIS, MO
63137-3424

Practice Phone: 314-401-7631
Practice Fax:

1114771060 — INTIMATE CARE LLC
Practice Location Address:

2258 SCHUETZ RD STE 114
SAINT LOUIS, MO
63146-3424

Practice Phone: 314-745-2926
Practice Fax: 314-528-6365

1538133731 — MS. JANE LESLIE HYSEN PA
Practice Location Address:

350 30TH ST , DAVID LOUIS MD #540
OAKLAND, CA
94609-3424

Practice Phone: 510-836-0223
Practice Fax: 510-836-8791

1518905777 — SOUTHERNCARE INC
Practice Location Address:

2258 SCHULTZ RD , STE 116 & 118
ST LOUIS, MO
63146-3424

Practice Phone: 314-692-7211
Practice Fax: 314-692-7255

Directions to “PRO-MOTION PT LLC ” 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 © 2007-2025 (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.