PROREHAB, PC (NPI# 1376598839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376598839 |
| Entity Type | Organization |
| Organization Name | PROREHAB, PC |
| Other Organization Name | ATHLETICO PHYSICAL THERAPY |
| Practice Address |
3101 Recreation Dr Suite 130 Washington MO 63090-6107 |
| Mailing Address |
625 Enterprise Dr Oak Brook IL 60523-8813 |
| Practice Telephone | 6362399979 |
| Practice Fax Number | 6362395442 |
| Mailing Telephone | 6305756200 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2016-07-08 |
| 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 | 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 |
| 1821041922 | Prorehab, PC | Clinic/Center | 790 N Highway 67, Florissant, MO 63031-5108 | 2006-05-18 |
| Street Address |
3101 RECREATION DR SUITE 130 |
| City | WASHINGTON |
| State | MO |
| Zip Code | 63090-6107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518433374 | Carter L Montgomery | Physical Therapist | 3101 Recreation Dr, Washington, MO 63090-6107 | 2018-10-19 |
| 1255772091 | Laci J Durler | Physical Therapist | 3101 Recreation Dr, Ste 130, Washington, MO 63090-6107 | 2013-07-09 |
| 1316388150 | Emily A Helton | Physical Therapist | 3101 Recreation Dr, Suite 130, Washington, MO 63090-6107 | 2013-07-09 |
| 1982758991 | Cynthia Rajkovich | Specialist/Technologist | 3101 Recreation Dr, Suite 130, Washington, MO 63090-6107 | 2007-01-23 |
| 1801907837 | Michael John Faris | Physical Therapist | 3101 Recreation Dr, Suite 130, Washington, MO 63090-6107 | 2006-08-31 |
| 1952411076 | Melissa Ann Ohm | Physical Therapist | 3101 Recreation Dr, Ste 130, Washington, MO 63090-6107 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1962975839 | Jennifer Biermann | Pharmacist | 801 E 5th Street, Washington, MO 63090 | 2019-01-03 |
| 1487199733 | Kristen Elaine Cleavelin | Registered Nurse | Mercy Convenient Care, 901 Patients First Drive, Washington, MO 63090 | 2016-12-22 |
| 1699146712 | Washington Community Counseling Center | Community/Behavioral Health | 421 W. 5th Street, Suite 110, Washington, MO 63090 | 2015-10-15 |
| 1598002024 | Americare At Vicotrian Manor of Washington, LLC | Assisted Living Facility | 2701 Rabbit Trail Dr, Washington, MO 63090 | 2013-01-03 |
| 1578824116 | Rhonda Ann Pepmiller | Nurse Practitioner | 851 E 5th St Ste 309, Washington, MO 63090 | 2012-05-30 |
| 1932486032 | Julie Joanne Lynch | Pharmacist | 890 Country Corners, Washington, MO 63090 | 2011-11-03 |
| 1043590839 | Laurie Elizabeth Bryson | Counselor | 102 Elm Street, Suite 204, Washington, MO 63090 | 2011-08-24 |
| 1164737490 | Mohan Mallikarjuna Edupuganti | Internal Medicine | 901 Patients First Dr Ste 2500, Washington, MO 63090 | 2010-08-11 |
| 1154640225 | Nicholas W Frederickson | Internal Medicine | 901 Patients First Drive Suite 3300, Washington, MO 63090 | 2010-05-27 |
| Find all providers in zip 63090 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174132302 | Full Circle Pt | Clinic/Center | 904 E Capitol St Ne Bsmt, Washington, DC 20003-3904 | 2020-07-23 |
| 1871121061 | Joe Norton Physical Therapy Pllc | Clinic/Center | 3222 N St Nw Ste 300, Washington, DC 20007-2895 | 2020-04-01 |
| 1649817990 | Phyt Collective, LLC | Clinic/Center | 818 Connecticut Ave Nw Ste 500, Washington, DC 20006-2713 | 2019-12-05 |
| 1962963280 | Manual Medicine Spine and Sports Physical Therapy | Clinic/Center | 1015 15th St Nw, Ste 614k, Washington, DC 20005 | 2019-03-28 |
| 1588136733 | University Physical Therapy Associates | Clinic/Center | 1160 Varnum St Ne Ste 217, Washington, DC 20017-2106 | 2018-12-28 |
| 1275014938 | District Performance & Physio | Clinic/Center | 1722 Eye St Nw Bsmt Level, Washington, DC 20006-3710 | 2018-08-22 |
| 1538578950 | Progressive Physical Therapy Center LLC | Clinic/Center | 901 6th St Sw Lbby Level, Fitness Level, Washington, DC 20024-3850 | 2014-08-11 |
| 1245593326 | Vital Physical Therapy LLC | Clinic/Center | 2401 M St Nw, Washington, DC 20037-1408 | 2012-06-22 |
| 1912275595 | Rose Physcial Therapy Group | Clinic/Center | 1101 Connecticut Ave Nw, Washington, DC 20036-4303 | 2011-12-09 |
| 1851687214 | Therapeutic Sessions Corporation | Clinic/Center | 3905 Dix St Ne, Washington, DC 20019-1401 | 2011-06-23 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 63090 |
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.