OrganizationActive
Physical Therapy Spine & Sports Medicine LLC
NPI 1942524087 · Rehabilitation Clinic/Center · Ballwin, MO
Provider details
- NPI number
- 1942524087
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stephen Krzyminski, Executive Vice President(419) 221-6717
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
15425 Manchester Rd
Suite 28
Ballwin, MO 63011-3077
Phone: (636) 220-6969
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 150
Lima, OH 45802-0150
Other names (DBA / former)
- Doing business as
- Cora Physical Therapy - Ballwin
Registry dates
- Enumerated
- 2010-03-18
- Last updated
- 2023-10-17
- Certified
- 2023-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.