PROREHAB, PC (NPI# 1437102894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437102894 |
| Entity Type | Organization |
| Organization Name | PROREHAB, PC |
| Other Organization Name | ATHLETICO PHYSICAL THERAPY |
| Practice Address |
784 Gravois Bluffs Blvd Fenton MO 63026-7726 |
| Mailing Address |
625 Enterprise Dr Oak Brook IL 60523-8813 |
| Practice Telephone | 6363498060 |
| Practice Fax Number | 6363499171 |
| Mailing Telephone | 6305756200 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-07-13 |
| 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 |
| 1376598839 | Prorehab, PC | Clinic/Center | 3101 Recreation Dr, Suite 130, Washington, MO 63090-6107 | 2006-05-23 |
| Street Address |
784 GRAVOIS BLUFFS BLVD |
| City | FENTON |
| State | MO |
| Zip Code | 63026-7726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275004798 | Jeremy M Kertz | Physical Therapist | 784 Gravois Bluffs Blvd, Fenton, MO 63026-7726 | 2018-12-10 |
| 1750740379 | Kellie L Blow | Physical Therapist | 784 Gravois Bluffs Blvd, Fenton, MO 63026-7726 | 2016-02-11 |
| 1881967214 | Sasha E Roschnafsky | Physical Therapist | 784 Gravois Bluffs Blvd, Fenton, MO 63026-7726 | 2012-02-15 |
| 1457460107 | Mark W Roshell | Physical Therapist | 784 Gravois Bluffs Blvd, Fenton, MO 63026-7726 | 2006-08-29 |
| 1245349992 | Stacey Ann Rosenbaum | Physical Therapist | 784 Gravois Bluffs Blvd, Fenton, MO 63026-7726 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| Find all providers in zip 63026 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669945614 | Overstride LLC | Clinic/Center | 13131 Foley Rd, Fenton, MI 48430-8408 | 2019-01-02 |
| 1518127372 | Optimax Physical Therapy, Pllc | Clinic/Center | 1539 N Leroy St, Fenton, MI 48430-2765 | 2008-06-13 |
| 1629022256 | Fenton Physical Therapy | Clinic/Center | 400 Biltmore Dr, Suite 403, Fenton, MO 63026-4641 | 2006-05-19 |
| 1144350323 | Occupational Health Centers of Kansas Pa | Clinic/Center | 128 Matrix Commons Dr, Fenton, MO 63026-2935 | 2007-03-06 |
| 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 |
| 1629590955 | Judice Consulting LLC | Clinic/Center | 700 Shallowcreek Vw, Ballwin, MO 63021-6618 | 2017-07-07 |
| 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.