SPINE REHAB AT HOME (NPI# 1396353587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396353587 |
| Entity Type | Organization |
| Organization Name | SPINE REHAB AT HOME |
| Practice Address |
481 Dana Meadows Ln Ballwin MO 63021-6493 |
| Practice Telephone | 3146263161 |
| Mailing Telephone | 3146263161 |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | KYLE WINTERS (OWNER) |
| Authorized Official Telephone | 3146263161 |
| Authorized Official Credential | DPT |
| 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 |
| Street Address |
481 DANA MEADOWS LN |
| City | BALLWIN |
| State | MO |
| Zip Code | 63021-6493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700200821 | Kyle Winters | Physical Therapist | 481 Dana Meadows Ln, Ballwin, MO 63021-6493 | 2014-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972121176 | Elise Marie Webster | Dietitian, Registered | 822 Posthorn Dr., Manchester, MO 63021 | 2020-07-14 |
| 1386164713 | Our Care LLC | Internal Medicine | 1742 Carman Ridge Ct, Ballwin, MO 63021 | 2017-06-27 |
| 1134675788 | Summit Home Healthcarre, LLC | Home Health | 11511 Manchester Road, Ellisville, MO 63021 | 2016-09-01 |
| 1730530114 | Windalee Cowell-mccavron | Speech-Language Pathologist | 332 Old State Rd, Ellisville, MO 63021 | 2016-06-27 |
| 1013386598 | 16111 Manchester Road, L.L.C. | Dentist | 428 Old State Rd., Ellisville, MO 63021 | 2015-09-15 |
| 1609285816 | Daniel Rackovan | Specialist/Technologist | 13537 Barret Pkwy Dr, 105, Ballwin, MO 63021 | 2014-08-13 |
| 1952651341 | Faisal Alasmari | General Acute Care Hospital | 13928 Reflection Drive, Reflection Cove Apartments, Apt#235, Ballwin, MO 63021 | 2012-09-13 |
| 1831444694 | Manuel A. Ventus | General Practice | 651 Kerryton Pl. Circle, Balwin, MD 63021 | 2012-07-18 |
| 1073879052 | Delois Ann Hurst | Podiatrist | 1393 Big Bend Rd, Ballwin, MO 63021 | 2012-04-04 |
| 1841566445 | Elizabeth Riedel | Home Health | 13610 Barrett Office Drive, Manchester, MO 63021 | 2012-03-28 |
| Find all providers in zip 63021 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629590955 | Judice Consulting LLC | Clinic/Center | 700 Shallowcreek Vw, Ballwin, MO 63021-6618 | 2017-07-07 |
| 1750326807 | Rehab Missouri, LLC. | Clinic/Center | 14031 Manchester Rd, Ballwin, MO 63011-4513 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417563479 | Lydia Kay Blondin | Clinic/Center | 24158 Tanglewood Rd, Saint Robert, MO 65584-3815 | 2020-09-16 |
| 1275146474 | Beyond Recovery Physical Therapy, LLC | Clinic/Center | 2627 E Horning St, Springfield, MO 65802-2372 | 2020-08-26 |
| 1144839887 | Atr Justin LLC | Clinic/Center | 15882 Clayton Rd, Ellisville, MO 63011-2212 | 2020-07-29 |
| 1043836588 | Martin Ventures LLC | Clinic/Center | 3119 S Scenic Ave Ste B, Springfield, MO 65807-3965 | 2020-06-21 |
| 1659996585 | Suellen Caroline Cruz Johnson | Clinic/Center | 1120 E 77th Ter, Kansas City, MO 64131-1939 | 2020-06-16 |
| 1790252948 | Mercy Hospital Springfield | Clinic/Center | 448 Hwy 248 Ste 130, Branson, MO 65616-3725 | 2018-10-25 |
| 1477059517 | Occupational Health Centers of Kansas Pa | Clinic/Center | 19000 E Eastland Center Ct Ste 200, Independence, MO 64055-7023 | 2018-04-05 |
| 1326541475 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 1 Pratt Pl, Florissant, MO 63031-6557 | 2018-03-15 |
| 1053820175 | Prorehab PC | Clinic/Center | 11525 Olde Cabin Rd Ste 1, Saint Louis, MO 63141-7146 | 2017-09-20 |
| 1407389349 | Mindful Pilates and Wellness, LLC | Clinic/Center | 407 Summit Ave, Webster Groves, MO 63119-2638 | 2017-04-07 |
| 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.