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

Phu An Pham

Individual provider Physical Therapist · NPI 1457143588

Phu An Pham is a Physical Therapist in Private Practice in Saint Louis, Missouri. Qualified in 2024, 2 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
2
Licensed in
MO
In the registry since
2025
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Practice location Address checks out

6940 Olive Blvd
Saint Louis, MO 63130-2544
Phone: (314) 781-0679
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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 2025017931 (MO)

Record details

NPI number1457143588
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 22, 2025
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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