PROREHAB, PC (NPI# 1194778183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194778183 |
| Entity Type | Organization |
| Organization Name | PROREHAB, PC |
| Other Organization Name | ATHLETICO PHYSICAL THERAPY |
| Practice Address |
3726 S Kingshighway Blvd Saint Louis MO 63109-1800 |
| Mailing Address |
600 Oakmont Ln Ste 600c Westmont IL 60559-5548 |
| Practice Telephone | 3143517172 |
| Practice Fax Number | 3143516885 |
| Mailing Telephone | 6305751980 |
| Mailing Fax Number | 6309285080 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-01-17 |
| Authorized Official Name | JUANA L GRANADOS (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6305751980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ATHLETICO PHYSICAL THERAPY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871992008 | Prorehab, PC | Physical Therapist | 1050 Admiral Weinel Blvd, Columbia, IL 62236-1988 | 2014-08-13 |
| 1922414028 | Prorehab, PC | Clinic/Center | 8023 W Florissant Ave Ste A, Jennings, MO 63136-1448 | 2014-07-09 |
| 1437575644 | Prorehab, PC | Clinic/Center | 1140 Collinsville Crossing Blvd, Collinsville, IL 62234-1880 | 2014-03-12 |
| 1942584214 | Prorehab, PC | Clinic/Center | 1837 Homer M Adams Pkwy, Suite M, Alton, IL 62002-5665 | 2011-10-05 |
| 1922328897 | Prorehab, PC | Occupational Therapist | 1832 Wentzville Parkway, Wentzville, MO 63385 | 2010-06-02 |
| 1689908725 | Prorehab, PC | Occupational Therapist | 20 Gravois Sta, House Springs, MO 63051-4348 | 2009-09-22 |
| 1861594160 | Prorehab, PC | Clinic/Center | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 | 2006-09-05 |
| 1194771923 | Prorehab, PC | Clinic/Center | 8622 Olive Blvd, Olivette, MO 63132-2504 | 2006-05-25 |
| 1740236512 | Prorehab, PC | Clinic/Center | 5300 N Illinois St, Suite 101, Fairview Heights, IL 62208-3500 | 2006-05-25 |
| 1376598839 | Prorehab, PC | Clinic/Center | 3101 Recreation Dr, Suite 130, Washington, MO 63090-6107 | 2006-05-23 |
| Street Address |
3726 S KINGSHIGHWAY BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63109-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356988836 | Senad Sabanagic | Physical Therapist | 3726 S Kingshighway Blvd, Saint Louis, MO 63109-1800 | 2019-12-04 |
| 1104485689 | Lauren K Sullivan | Physical Therapist | 3726 S Kingshighway Blvd, Saint Louis, MO 63109-1800 | 2019-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431907 | James Edward Trout | Community Health Worker | 3956 Wenzlick Ave, St Louis, MO 63109 | 2017-08-01 |
| 1750815023 | Andrea Hyde | Nurse Practitioner | 5302 Chippewa Street, Suite 301, St Louis, MO 63109 | 2017-04-13 |
| 1215362124 | Alex Sharifian Dds Francis Park Dentistry PC | Dentist | 6650 Chippewa Street, Saint Louis, MO 63109 | 2013-09-10 |
| 1881993962 | Rachel Elizabeth Hale Hasper | Counselor | 6555 Chippewa, St Louis, MO 63109 | 2011-03-15 |
| 1730369885 | Janis Marie Lampa | Physical Therapist | 5203 Chippewa, Suite 301, St. Louis, MO 63109 | 2007-11-06 |
| 1285753772 | James Matthew Jordan | Occupational Therapist | 32 Hampton Village Plaza, St Louis, MO 63109 | 2007-03-28 |
| 1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
| 1801959903 | John Thomas Doyle | Dentist | 5400 Walsh St, St Louis, MO 63109 | 2006-12-19 |
| 1649339771 | Residencial Services Corporation | Assisted Living Facility | 5890 Eichelberger, St Louis, MO 63109 | 2006-12-06 |
| 1316039852 | Gary Raymond Rieser | Dentist | 3915 Watson Road, Suite 205, Saint Louis, MO 63109 | 2006-09-29 |
| Find all providers in zip 63109 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053820175 | Prorehab PC | Clinic/Center | 11525 Olde Cabin Rd Ste 1, Saint Louis, MO 63141-7146 | 2017-09-20 |
| 1811447840 | Crystal Cunetto | Clinic/Center | 1114 Ridgelynn Dr, Saint Louis, MO 63124-1220 | 2016-10-13 |
| 1720429558 | Missouri Physical Therapy LLC | Clinic/Center | 9751 Clayton Rd, Saint Louis, MO 63124-1503 | 2013-07-09 |
| 1205067857 | Therapeutic Innovations Lc | Clinic/Center | 563 Cliff Cave Rd, Saint Louis, MO 63129-4415 | 2009-07-30 |
| 1639200074 | Occupational Health Centers of Kansas Pa | Clinic/Center | 1617 S 3rd St, Saint Louis, MO 63104-3839 | 2007-03-08 |
| 1629109087 | Occupational Health Centers of Kansas Pa | Clinic/Center | 8340 N Broadway, Saint Louis, MO 63147-2333 | 2007-03-08 |
| 1124071238 | Prorehab, PC | Clinic/Center | 107 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307 | 2006-05-18 |
| 1336122266 | Brentwood Physical Therapy Limited | Clinic/Center | 2558 S Brentwood Blvd, Saint Louis, MO 63144-2309 | 2005-11-23 |
| 1699269928 | Physical Therapy Collective, LLC | Clinic/Center | 4642 Shenandoah Ave, Saint Louis, MO 63110-3424 | 2018-06-20 |
| 1518476548 | Prorehab PC | Clinic/Center | 12855 N 40 Dr Ste 375, Saint Louis, MO 63141-8657 | 2017-09-21 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63109 |
Please comment or provide details below to improve the information on PROREHAB, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.