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

Mts-Lake Saint Louis, LLC

Organization Physical Therapy Clinic/Center · NPI 1629492111

Mts-Lake Saint Louis, LLC is a Physical Therapy Clinic/Center in O Fallon, Missouri. Registered with an NPI since 2014.

In the registry since
2014
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

9961 Winghaven Blvd
O Fallon, MO 63368-3623
Phone: (636) 728-1777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1629492111
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dan Washeck — Owner/Physical Therapist · (636) 699-9357
NPI enumeratedFebruary 5, 2014
Last updated in NPPESFebruary 5, 2014
Mailing address9961 Winghaven Blvd, O Fallon, MO 63368-3623

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