PROREHAB, PC (NPI# 1740236512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740236512 |
| Entity Type | Organization |
| Organization Name | PROREHAB, PC |
| Other Organization Name | ATHLETICO PHYSICAL THERAPY |
| Practice Address |
5300 N Illinois St Suite 101 Fairview Heights IL 62208-3500 |
| Mailing Address |
625 Enterprise Dr Oak Brook IL 60523-8813 |
| Practice Telephone | 6186249300 |
| Practice Fax Number | 6186249330 |
| Mailing Telephone | 6305756200 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2016-07-07 |
| 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 |
IL | 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 |
| 1376598839 | Prorehab, PC | Clinic/Center | 3101 Recreation Dr, Suite 130, Washington, MO 63090-6107 | 2006-05-23 |
| 1821041922 | Prorehab, PC | Clinic/Center | 790 N Highway 67, Florissant, MO 63031-5108 | 2006-05-18 |
| Street Address |
5300 N ILLINOIS ST SUITE 101 |
| City | FAIRVIEW HEIGHTS |
| State | IL |
| Zip Code | 62208-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649517186 | Stacey Collins | Physical Therapist | 5300 N Illinois St, Ste. 101, Fairview Heights, IL 62208-3500 | 2013-01-03 |
| 1699024463 | Shawn T Wilcox | Hearing Instrument Specialist | 5300 N Illinois St, Fairview Heights, IL 62208-3500 | 2012-09-07 |
| 1447509328 | Les P Ham | Hearing Instrument Specialist | 5300 N Illinois St, Ste 105, Fairview Heights, IL 62208-3500 | 2012-09-06 |
| 1619241759 | Matthew W Weirich | Occupational Therapist | 5300 N Illinois St, Ste 101, Fairview Heights, IL 62208-3500 | 2012-03-07 |
| 1881982957 | Jessica A Durr | Physical Therapist | 5300 N Illinois St, Fairview Heights, Fairview Heights, IL 62208-3500 | 2011-07-11 |
| 1609171354 | Nicola J Poole-jones | Physical Therapist | 5300 N Illinois St, Suite 101, Fairview Heights, IL 62208-3500 | 2011-01-11 |
| 1871690081 | Back & Spine Medical Institute | Physical Therapist | 5300 N Illinois St, Fairview Heights, IL 62208-3500 | 2006-09-20 |
| 1740200690 | Dana Lynn Norris | Physical Therapist | 5300 N Illinois St, Fairview Heights, IL 62208-3500 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829647 | Stephanie Lynn Arzavala-reed | Counselor | 8.5 Canty Lane, Fairview Heights, IL 62208 | 2019-12-26 |
| 1649822156 | Preferred Behavioral Health | Community/Behavioral Health | 141 Market Place Drive, Suite 100, Fairview Heights, IL 62208 | 2019-07-15 |
| 1164929055 | Itic Support Services Inc | Psychiatry & Neurology | 141 Market Pl Ste 100, Fairview Heights, IL 62208 | 2018-04-09 |
| 1023525102 | Karen E. Reinacher | Speech-Language Pathologist | 21 Circle Dr., Fairview Heights, IL 62208 | 2018-01-10 |
| 1316465297 | Rachel Moser | Behavioral Analyst | 9510 St. Clair Ave, Fairview Heights, IL 62208 | 2017-08-31 |
| 1952826471 | Tomika Eiland | Social Worker | 413 David Dr, Fairview Heights, IL 62208 | 2017-08-05 |
| 1194113852 | Rachel Logan | Social Worker | 10850 Lincoln Trail, Suite 16 #3, Fairview Heights, IL 62208 | 2015-01-05 |
| 1255746715 | Center for Advanced Medicine LLC | Internal Medicine | 5036 N Illinois St, Suite 1, Fairview Heights, IL 62208 | 2014-06-24 |
| 1033463393 | Katherine Johnson I | Physical Therapy Assistant | 320 N Ruby Ln, Fairview Heights, IL 62208 | 2012-11-07 |
| 1508118779 | Nicole Kovacic | Physical Therapy Assistant | 5501 Perrin Drive, Fairview Heights, IL 62208 | 2012-10-11 |
| Find all providers in zip 62208 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790336 | Priority You Physical Therapy and Wellness, Pllc | Clinic/Center | 20660 Caton Farm Rd., Unit A, Crest Hills, IL 60403 | 2020-11-03 |
| 1487253464 | Chimera Health Pllc | Clinic/Center | 525 N Ada St Apt 10, Chicago, IL 60642-6486 | 2020-10-21 |
| 1528666468 | Chicago Pelvic Health and Wellness, LLC | Clinic/Center | 1020 E Ogden Ave Ste 309, Naperville, IL 60563-8611 | 2020-10-13 |
| 1548876063 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 1000 Commerce Court, Suite 101, Bensenville, IL 60106 | 2020-09-21 |
| 1518573963 | Better Play Performance & Rehab Pllc | Clinic/Center | 1201 Waters Edge Rd, Champaign, IL 61822-8101 | 2020-09-21 |
| 1548876329 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 17130 Prime Blvd Ste 101, Lockport, IL 60441-1311 | 2020-09-17 |
| 1124631676 | Leena Bird Physical Therapy Pllc | Clinic/Center | 400 Prairie Knoll Dr, Naperville, IL 60565-4154 | 2020-08-25 |
| 1831702232 | Pararmount Physical Therapy LLC | Clinic/Center | 2960 Artesian Rd Ste 152, Naperville, IL 60564-4876 | 2020-08-25 |
| 1487263851 | Priority You Physical Therapy and Wellness Pllc | Clinic/Center | 2101 Alpine Way, Plainfield, IL 60586-5079 | 2020-07-30 |
| 1093324345 | Motogenix Concierge Physical Therapy | Clinic/Center | 111 S Morgan St Apt 620, Chicago, IL 60607-2732 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | FAIRVIEW HEIGHTS |
| Zip Code | 62208 |
Please comment or provide details below to improve the information on PROREHAB, PC.
| 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.