FULL CIRCLE REHAB LLC (NPI# 1508096306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508096306 |
| Entity Type | Organization |
| Organization Name | FULL CIRCLE REHAB LLC |
| Practice Address |
1000 Des Peres Rd 120 Saint Louis MO 63131-2050 |
| Mailing Address |
1 Angest Cir Saint Louis MO 63119-4201 |
| Practice Telephone | 3144958718 |
| Practice Fax Number | 3149627701 |
| Mailing Telephone | 3144958718 |
| Mailing Fax Number | 3149627701 |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |
| Authorized Official Name | ANNE GENEVIEVE SHANNON (OWNER) |
| Authorized Official Telephone | 3144958718 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
2006028602 | MO | Ambulatory Health Care Facilities |
| Street Address |
1000 DES PERES RD 120 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63131-2050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215923370 | Christopher R. Rothrock | Orthopaedic Surgery | 1000 Des Peres Rd, Suite 325, Saint Louis, MO 63131-2050 | 2005-09-23 |
| 1932599354 | Sbkt Enterprises, LLC | Orthopaedic Surgery | 1000 Des Peres Rd, Suite 210, Saint Louis, MO 63131-2050 | 2015-01-24 |
| 1376946830 | Jonathan David Stephens | Physical Therapy Assistant | 1000 Des Peres Rd, Suite 130, Saint Louis, MO 63131-2050 | 2014-09-29 |
| 1073851218 | Bone & Joint Chiropractic, LLC | Chiropractor | 1000 Des Peres Rd, Ste 120, Saint Louis, MO 63131-2050 | 2013-01-23 |
| 1164769097 | Lynne Loraine Schmidt-barlow | Chiropractor | 1000 Des Peres Rd, Saint Louis, MO 63131-2050 | 2013-01-11 |
| 1144574393 | Karen A. Mcmahon | Social Worker | 1000 Des Peres Rd, Suite 200-c, Saint Louis, MO 63131-2050 | 2012-11-08 |
| 1366795981 | Vicki L. Guth | Counselor | 1000 Des Peres Rd, Suite 200-c, Saint Louis, MO 63131-2050 | 2012-10-19 |
| 1609129378 | Cynthia F. Cartwright | Counselor | 1000 Des Peres Rd, Suite 200-c, Saint Louis, MO 63131-2050 | 2012-10-18 |
| 1588917249 | Mary Elizabeth Bulte | Social Worker | 1000 Des Peres Rd, Suite 200-c, Saint Louis, MO 63131-2050 | 2012-10-18 |
| 1821341595 | Carol R. Dawson | Counselor | 1000 Des Peres Rd, Suite 200-c, Saint Louis, MO 63131-2050 | 2012-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265073845 | Arnold Physical Therapy & Sports Medicine LLC | Clinic/Center | 9594 Manchester Rd, Saint Louis, MO 63119-1313 | 2019-10-04 |
| 1831442540 | Invigorate Rehab Inc | Clinic/Center | 1722 Olive St Ste 201, Saint Louis, MO 63103-1700 | 2012-10-18 |
| 1629004106 | Associated Rehabilitation Services, Inc. | Clinic/Center | 605 Coeur De Ville Dr, Parc Provence - Rehab Department, Saint Louis, MO 63141-6603 | 2006-06-25 |
| 1235175241 | Select Physical Therapy of St Louis Limited Partnership | Clinic/Center | 8905 Airport Rd, Saint Louis, MO 63134 | 2006-06-20 |
| 1538107222 | Enhance Rehabilitation, Inc. | Clinic/Center | 4431 S Broadway, Saint Louis, MO 63111-1258 | 2006-06-03 |
| 1427024918 | Bethesda Services, Inc. | Clinic/Center | 8175 Big Bend Blvd, Suite 130, Saint Louis, MO 63119-3291 | 2006-02-24 |
| 1750980785 | Ssm Select Rehab St. Louis, LLC | Clinic/Center | 12539 Olive Blvd, Saint Louis, MO 63141-6311 | 2020-10-21 |
| 1770939522 | West End Clinic | Clinic/Center | 5736 W Florissant Ave, Saint Louis, MO 63120-2444 | 2016-05-11 |
| 1891108783 | Ladue Physical Therapy and Personal Training, Inc | Clinic/Center | 9751 Clayton Rd, Saint Louis, MO 63124-1503 | 2014-06-09 |
| 1376503847 | Select Physical Therapy of St Louis Limited Partnership | Clinic/Center | 1001 S Kirkwood Rd, Ste 140, Saint Louis, MO 63122-7254 | 2006-03-27 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63131 |
Please comment or provide details below to improve the information on FULL CIRCLE REHAB LLC.
| 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.