PROREHAB PC (NPI# 1467949040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467949040 |
| Entity Type | Organization |
| Organization Name | PROREHAB PC |
| Other Organization Name | ATHLETICO PHYSICAL THERAPY |
| Practice Address |
2136 William St Ste 115 Cape Girardeau MO 63703-5830 |
| Mailing Address |
600 Oakmont Ln Ste 600c Westmont IL 60559-5548 |
| Practice Telephone | 5738264033 |
| Practice Fax Number | 5738247075 |
| Mailing Telephone | 6305756200 |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |
| Authorized Official Name | JUANA GRANADOS (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6305751980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational 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 |
| 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 |
| 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 |
2136 WILLIAM ST STE 115 |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-5830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| 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 |
|---|---|---|---|---|
| 1598319345 | Bariatric & Metabolic Institute LLC | Clinic/Center | 97 N Kingshighway St Ste 7, Cape Girardeau, MO 63701-4366 | 2019-07-30 |
| 1295222966 | Restart Recovery LLC | Clinic/Center | 21 Doctors Park Ste A, Cape Girardeau, MO 63703-4927 | 2018-04-18 |
| 1265926562 | Doctor Freeman | Clinic/Center | 23 Doctors Park, Cape Girardeau, MO 63703 | 2018-06-20 |
| 1043760184 | Auburn Surgery Center Inc | Clinic/Center | 300 S Mount Auburn Rd, Ste 200, Cape Girardeau, MO 63703-4920 | 2016-10-13 |
| 1346270543 | Continental Wound Center, L.L.C. | Clinic/Center | 310 S Silver Springs Rd, Cape Girardeau, MO 63703-6312 | 2006-07-03 |
| 1417959149 | Medstop One Inc | Clinic/Center | 3065 William St, Suite 209, Cape Girardeau, MO 63703-6393 | 2005-08-12 |
| 1265431670 | Auburn Surgery Center Inc. | Clinic/Center | 300 S Mount Auburn Rd, Ste 200, Cape Girardeau, MO 63703-4920 | 2005-07-18 |
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|---|---|---|---|---|
| 1982219945 | Behavior Dad, LLC | Clinic/Center | 3509 W Moark, Battlefield, MO 65619-9616 | 2020-09-15 |
| 1801406178 | Primary Care of Cedar Hill Harmony | Clinic/Center | 6420 The Cedars Ct Ste 1, Cedar Hill, MO 63016-2222 | 2020-08-03 |
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1447873914 | 2 for Him, LLC | Clinic/Center | 310 Route 66 E, Waynesville, MO 65583-2648 | 2020-05-19 |
| 1780204586 | Keep Well Now | Clinic/Center | 2405 Aspen Rd, Highlandville, MO 65669-8051 | 2020-04-21 |
| 1871112102 | Thrive St. Louis, Inc | Clinic/Center | 4331 Lindell Blvd, Saint Louis, MO 63108-2701 | 2020-04-16 |
| 1548893530 | Gateway Direct Primary Care Jv LLC | Clinic/Center | 1015 Corporate Square Dr Ste 101, Saint Louis, MO 63132-2938 | 2020-02-18 |
| 1033741202 | Olalani Holdings LLC | Clinic/Center | 950 Francis Pl Ste 217, Clayton, MO 63105-2465 | 2020-02-06 |
| 1124659180 | Eldon Family Chiropractic, LLC | Clinic/Center | 102 N Business Highway 54 E Ste D, Eldon, MO 65026-2041 | 2020-01-29 |
| 1619518032 | Mcpherson Medical & Diagnostic, LLC | Clinic/Center | 110 Us Hwy 61 N, Ste B, Hayti, MO 63851 | 2019-10-07 |
| Find all providers with the same taxonomy | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
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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.