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

Kristen Marie Fallert

Individual provider Physical Therapist · NPI 1124457114

Kristen Marie Fallert is a Physical Therapist in Private Practice in Saint Louis, Missouri. Qualified in 2013, 13 years ago. Practices with Signature Medical Group Inc, a 40-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
13
Licensed in
IL, MO
In the registry since
2013
Specialties on file
2

Practice location Address checks out

1027 Bellevue Ave Ste 15
Saint Louis, MO 63117-1851
Phone: (314) 768-5375
Fax: (314) 768-5376
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2013028464 (MO)
Physical Therapist Taxonomy 225100000X · Licence 070020387 (IL)

Record details

NPI number1124457114
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 11, 2013
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Signature Medical Group Inc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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