Organization · Type 2 NPI

Legacy Physiatry Group Missouri, LLC

Physical Medicine & Rehabilitation Physician · St. Louis, MO

NPI number 1366838658 Active

Practice location

3636 S Geyer Rd, 100
St. Louis, MO 63127-1237

Call (972) 372-1663 Map

Mailing address

850 Central Pkwy E
Plano, TX 75074-5561

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	None listed
Physical Medicine & Rehabilitation Physician Primary	208100000X	None listed
Physician Assistant	363A00000X	None listed
Nurse Practitioner	363L00000X	None listed

Physical Medicine & Rehabilitation Physician: Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively,…

5 other providers at this address

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NPI record

NPI: 1366838658
Entity type: Organization (Type 2)
Issued: Apr 13, 2015
Last updated: Apr 13, 2015
Status: Active
Subpart: Yes of Legacy Physiatry Group, LLC

Other names

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Legacy Physiatry Group · doing business as

Authorized official

Dr. Vivek Sastry, DO
President/ceo
(972) 372-1663

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366838658

Legacy Physiatry Group Missouri, LLC's National Provider Identifier is 1366838658, issued on Apr 13, 2015. The primary taxonomy on file is Physical Medicine & Rehabilitation Physician (208100000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 13, 2015.