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NPI Code Detail

MEDICARE: MATCHFIT PHYSICAL THERAPY

MEDICARE: MATCHFIT PHYSICAL THERAPY
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1881540193
Entity Type Code : Organization
Provider Name (Legal Business Name) : MATCHFIT PHYSICAL THERAPY
Provider Business Mailing Address
First Line : 806 BROWNELL AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63122-3237
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 806 BROWNELL AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63122-3237
Country : US
Telephone Number : 224-330-5189
Fax Number :
Authorized Official
Title or Position : PHYSICAL THERAPIST
Name : DR. DANIEL JAMES ROSS
Credential : PT,DPT
Telephone Number : 224-330-5189
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “MATCHFIT PHYSICAL THERAPY ” 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.