JENNIFER STATELER (P.T.) – Physical Therapist, NPI 1366654121

JENNIFER STATELER (P.T.) is a healthcare provider. based in Saint louis, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. PT 3365 (CA). The NPI Number for JENNIFER STATELER (P.T.) is 1366654121

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER STATELER (P.T.)
NPI
1366654121
Phone
(314) 977-7419
Address
3530 LACLEDE AVE
Enumeration Date
4 May 2007
Last Update Date
9 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3147751102
Graduation Year
2007 (19 years ago)
PAC ID
6709984701
Group Practice PAC ID
4981018736
Professional Enrollment ID
I20080226000786
Address ID
IL622941155TR300XXCTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

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Provider Addresses for JENNIFER STATELER (P.T.)

  • Marchetti Towers West, 3530, Laclede Avenue, St Louis University, City of Saint Louis, Missouri, 63103, United States

    SAINT LOUIS, MO 631032011

    Phone: (314) 977-7419

    Fax: (314) 977-2070

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-02-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080226000786IPhysical Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97116Therapy procedure for walking training, each 15 minutes1,22954$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,16855$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes90153$0
97530Therapy procedure using functional activities39950$0
97162Evaluation for physical therapy, typically 30 minutes5341$0
View full utilization report →

Insurance plans in this area (ZIP 63103)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981018736View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeMO

Reviews

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Frequently asked questions

Is there an official ID for JENNIFER STATELER (P.T.) in U.S. healthcare records?
The official identifier for JENNIFER STATELER (P.T.) is NPI 1366654121.
Active or inactive — what applies to JENNIFER STATELER (P.T.)?
You should see JENNIFER STATELER (P.T.) as active in CMS-hosted NPPES data.
What kind of doctor is JENNIFER STATELER (P.T.)?
JENNIFER STATELER (P.T.) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is JENNIFER STATELER (P.T.) associated with Saint Louis?
Public fields place JENNIFER STATELER (P.T.) around Saint Louis, Missouri. Always confirm the exact site before visiting.
Can I trust this NPI listing for JENNIFER STATELER (P.T.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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