PROREHAB, PC (NPI# 1861594160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861594160 |
Entity Type | Organization |
Organization Name | PROREHAB, PC |
Other Organization Name | ATHLETICO PHYSICAL THERAPY |
Practice Address |
951 Waterbury Falls Dr O Fallon MO 63368-2202 |
Mailing Address |
625 Enterprise Dr Oak Brook IL 60523-8813 |
Practice Telephone | 6363360300 |
Practice Fax Number | 6363360297 |
Mailing Telephone | 6305756200 |
Enumeration Date | 2006-09-05 |
Last Update Date | 2016-07-11 |
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 |
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 |
1821041922 | Prorehab, PC | Clinic/Center | 790 N Highway 67, Florissant, MO 63031-5108 | 2006-05-18 |
Street Address |
951 WATERBURY FALLS DR |
City | O FALLON |
State | MO |
Zip Code | 63368-2202 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588109078 | Austin F Clark | Student in an Organized Health Care Education/Training Program | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 | 2016-12-20 |
1770930463 | Donald Thorsen | Occupational Therapist | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 | 2016-05-23 |
1578855292 | Andrea L Gettman | Physical Therapist | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 | 2011-05-13 |
1023341914 | Stephanie Ward | Physical Therapist | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 | 2009-09-10 |
1740416965 | Benjamin L. Schaub | Physical Medicine & Rehabilitation | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 | 2009-06-02 |
1477749562 | Michelle Terese Stolin | Physical Therapist | 951 Waterbury Falls Dr, O Fallon, MO 63368 | 2007-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
1770124802 | Lisa N. Greer | Technician | 6911 Brassel Dr., Ofallon, MO 63368 | 2019-09-30 |
1770145716 | Halie Faye Gulley | Dentist | 3009 Hwy K, O'fallon, MO 63368 | 2019-06-29 |
1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
1528507472 | Washeck Manual Therapy LLC | Clinic/Center | 3074 Winghaven Blvd, O'fallon, MO 63368 | 2017-02-13 |
1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
1124561469 | Cardinal Home Care LLC | Home Health | 18 Convent Garden Ct, O'fallon, MO 63368 | 2016-11-18 |
1336509272 | Sarah Marie Mudd | Counselor | 1654 Bryan Road, O'fallon, MO 63368 | 2016-03-04 |
1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
Find all providers in zip 63368 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003280421 | Axes Physical Therapy, LLC | Clinic/Center | 4273 Keaton Crossing Blvd, O Fallon, MO 63368-8220 | 2015-11-23 |
1679738983 | Js Industries, Inc. | Clinic/Center | 230 Fort Zumwalt Sq, O Fallon, MO 63366-3064 | 2008-07-25 |
1720481591 | Friedrichs Physical Therapy, LLC | Clinic/Center | 2315 Highway K, O Fallon, MO 63368 | 2014-10-07 |
1376967851 | Cvpt- Lake Saint Louis, LLC | Clinic/Center | 9961 Winghaven Blvd, O Fallon, MO 63368-3623 | 2014-02-05 |
1629492111 | Mts-lake Saint Louis, LLC | Clinic/Center | 9961 Winghaven Blvd, O Fallon, MO 63368-3623 | 2014-02-05 |
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 |
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.