Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Legacy Physiatry Group Missouri, LLC

Organization Internal Medicine Physician · NPI 1366838658

Legacy Physiatry Group Missouri, LLC is an Internal Medicine Physician in Saint Louis, Missouri. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3636 S Geyer Rd 100
Saint Louis, MO 63127-1237
Phone: (972) 372-1663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Internal Medicine Physician Taxonomy 207R00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1366838658
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLegacy Physiatry Group, LLC
Authorized official Vivek Sastry — President/Ceo · (972) 372-1663
Other names Legacy Physiatry Group
NPI enumeratedApril 13, 2015
Last updated in NPPESApril 13, 2015
Mailing address850 Central Pkwy E, Plano, TX 75074-5561

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