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

Maryellen Petrie, DPT

Individual provider Physical Therapist · NPI 1245060581

Maryellen Petrie, DPT is a Physical Therapist in Fenton, Missouri. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
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

1015 Bowles Ave
Fenton, MO 63026-2394
Phone: (636) 496-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1245060581
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 2, 2024
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024
Mailing address549 N Van Buren Ave, Kirkwood, MO 63122-3922

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