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

Komuri Brian Lejukole

Individual provider Physical Therapist · NPI 1184513269

Komuri Brian Lejukole is a Physical Therapist in Private Practice in Saint Louis, Missouri. Practices as a sole proprietor and works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

3518 Laclede Ave
Saint Louis, MO 63103-2011
Phone: (314) 977-2323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3530 Laclede Ave, Saint Louis, MO 63103-2011 — (314) 977-7419

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2025034004 (MO)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1184513269
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 2, 2025
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Accepts Medicare assignment Not indicated

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