PROREHAB PC (NPI# 1437675535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437675535 |
| Entity Type | Organization |
| Organization Name | PROREHAB PC |
| Other Organization Name | ATHLETICO PHYSICAL THERAPY |
| Practice Address |
1915 Carlyle Ave Ste D Belleville IL 62220 |
| Mailing Address |
625 Enterprise Dr Oak Brook IL 60523-8813 |
| Practice Telephone | 6183100305 |
| Mailing Telephone | 6305756200 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-21 |
| Authorized Official Name | GERI COOK (VP OF BILLING OPERATIONS) |
| Authorized Official Telephone | 6305751940 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| 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 |
| 1043661465 | Prorehab PC | Physical Therapist | 6309 Ronald Reagan Dr, Lake St Louis, MO 63367-2681 | 2016-06-27 |
| 1316393366 | Prorehab PC | Physical Therapist | 3940 Green Mount Crossing Dr, Shiloh, IL 62269-7289 | 2016-05-09 |
| 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 |
1915 CARLYLE AVE STE D |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| 1043263874 | Raymond Glenn Varnum | Pharmacist | 1406 W Main St, Belleville, IL 62220 | 2006-05-19 |
| Find all providers in zip 62220 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760034292 | Optimally Nourished LLC | Clinic/Center | 303 Belmont Ave Ste 2, Belleville, NJ 07109-1103 | 2019-07-15 |
| 1700050242 | Reynolds Chiropractic Center Inc. | Clinic/Center | 9910 Belleville Rd, Belleville, MI 48111 | 2008-04-16 |
| 1356590178 | Advanced Heart Care | Clinic/Center | 4600 Memorial Dr, W3, Belleville, IL 62226-5366 | 2008-09-17 |
| 1629118005 | Belleville Rehabilitation Services,ltd | Clinic/Center | 333 S Illinois St, Suite D, Belleville, IL 62220-2153 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069805 | Elite Spine & Wellness Center, Inc | Clinic/Center | 5898 Pathfinder Rd, Rockford, IL 61109-4008 | 2020-10-08 |
| 1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| 1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
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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.