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

Individual provider Physical Therapist · NPI 1073070108

Jeffrey Martin Betonio, DPT is a Physical Therapist in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

401 Corporate Park Dr
Saint Louis, MO 63105-4201
Phone: (314) 725-7447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2019003954 (MO)

Record details

NPI number1073070108
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedFebruary 25, 2019
Last updated in NPPESFebruary 25, 2019

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