PROREHAB PC (NPI# 1316393366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316393366 |
| Entity Type | Organization |
| Organization Name | PROREHAB PC |
| Other Organization Name | ATHLETICO PHYSICAL THERAPY |
| Practice Address |
3940 Green Mount Crossing Dr Shiloh IL 62269-7289 |
| Mailing Address |
625 Enterprise Dr Oak Brook IL 60523-8813 |
| Practice Telephone | 6186283100 |
| Practice Fax Number | 6186289400 |
| Mailing Telephone | 6305751980 |
| Mailing Fax Number | 6309285080 |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-10-27 |
| Authorized Official Name | GERI COOK (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Telephone | 6305751940 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| ATHLETICO PHYSICAL THERAPY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114538097 | Prorehab PC | Physical Therapist | 3156 Telegraph Rd, Saint Louis, MO 63125-5500 | 2020-08-13 |
| 1629691639 | Prorehab PC | Physical Therapist | 603 S Bishop Ave Ste B, Rolla, MO 65401-4320 | 2020-05-26 |
| 1972148179 | Prorehab PC | Occupational Therapist | 301 S Maple St, Eldon, MO 65026-1854 | 2019-11-12 |
| 1992295570 | Prorehab PC | Physical Therapist | 709 W. Marion Street, Marion, IL 62959-2439 | 2018-05-18 |
| 1467949040 | Prorehab PC | Physical Therapist | 2136 William St Ste 115, Cape Girardeau, MO 63703-5830 | 2018-04-18 |
| 1053820175 | Prorehab PC | Clinic/Center | 11525 Olde Cabin Rd Ste 1, Saint Louis, MO 63141-7146 | 2017-09-20 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1043661465 | Prorehab PC | Physical Therapist | 6309 Ronald Reagan Dr, Lake St Louis, MO 63367-2681 | 2016-06-27 |
| 1760435440 | Prorehab PC | Clinic/Center | 15884 Manchester Rd, Ellisville, MO 63011-2208 | 2006-05-17 |
| 1932700358 | Prorehab PC | Clinic/Center | 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 | 2020-11-03 |
| Street Address |
3940 GREEN MOUNT CROSSING DR |
| City | SHILOH |
| State | IL |
| Zip Code | 62269-7289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053347583 | Amy Lynn Dossett | Physical Therapist | 1901 Frank Scott Pkwy E, Shiloh, IL 62269-7342 | 2006-06-25 |
| 1427605450 | Brea Anne Masching | Physical Therapist | 1901 Frank Scott Pkwy E, Shiloh, IL 62269-7342 | 2019-08-23 |
| 1932640646 | Katelyn Kidd | Physical Therapist | 1901 Frank Scott Pkwy E, Shiloh, IL 62269-7342 | 2017-03-14 |
| 1972046886 | Sarah Maus | Physical Therapist | 1901 Frank Scott Pkwy E, Shiloh, IL 62269-7342 | 2016-11-25 |
| 1972907970 | Meredith Hutton | Physical Therapist | 1901 Frank Scott Pkwy E, Shiloh, IL 62269-7342 | 2014-10-20 |
| 1114036761 | Julie Sudduth Koesterer | Physical Therapist | 1901 Frank Scott Pkwy E, Shiloh, IL 62269-7296 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366874 | Rachel Stoffregen | Physical Therapist | 812 East Ogden Ave, Westmont, IL 60559 | 2020-11-04 |
| 1710588264 | Be Well Physical Therapy and Wellness Inc. | Physical Therapist | 12509 W 159th St, Homer Glen, IL 60491-7845 | 2020-11-02 |
| 1346841871 | Anneisha Elerby | Physical Therapist | 305 W Indian Trl Ste B, Aurora, IL 60506-2473 | 2020-11-02 |
| 1326648023 | Jacob Daniel Ledesma | Physical Therapist | 588 William R Latham Senior Dr Ste 5, Bourbonnais, IL 60914 | 2020-10-30 |
| 1518567445 | Melissa Z Septon | Physical Therapist | 975 Auburn Ave, Highland Park, IL 60035-1119 | 2020-10-29 |
| 1841890787 | Eskoff Physical Therapy, LLC | Physical Therapist | 10545 Royal Porthcawl Dr, Naperville, IL 60564-8113 | 2020-10-29 |
| 1780283382 | Annmarie Perelle | Physical Therapist | 100 Village Green Drive, Suite 2010, Lincolnshire, IL 60069 | 2020-10-23 |
| 1720687585 | Cassandra Coleman | Physical Therapist | 13731 Quail Run Ct, Homer Glen, IL 60491-9448 | 2020-10-22 |
| 1528667698 | Saptherapy Physical Rehab & Associates | Physical Therapist | 111 N Wabash Ave Ste 1300, Chicago, IL 60602-2010 | 2020-10-20 |
| 1841899218 | Diana Ahtziri Trujillo Torres | Physical Therapist | 3934 W 68th St, Chicago, IL 60629-4106 | 2020-10-18 |
| Find all providers with the same taxonomy | ||||
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| 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.