Kathleen Finley Licavoli (NPI# 1144351610, PAC ID# 6800032525) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1144351610 |
| PAC ID by PECOS | 6800032525 |
| Professional Enrollment ID | I20180831000057 |
| Full Name | Kathleen Finley Licavoli |
| Organization Legal Name | SSM SELECT REHAB ST LOUIS LLC |
| Address |
148 Professional Pkwy Troy MO 63379-2823 |
| Phone Number | 6363561142 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 2567510449 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 148 Professional Pkwy, Troy, MO 63379-2823 | 6363561142 | SSM SELECT REHAB ST LOUIS LLC |
| Organization Legal Name | SSM SELECT REHAB ST LOUIS LLC |
| Physicians | 75 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Brown | Physical Therapy | Ssm Select Rehab St Louis LLC | 1 Town and Country Market Pl, Warrenton, MO 63383-1372 |
| Madalynn Lenger | Physical Therapy | Ssm Select Rehab St Louis LLC | 722 N Hwy 47, Warrenton, MO 63383-1108 |
| Gerard J Erker | Psychologist, Clinical | Ssm Select Rehab St Louis LLC | 12380 Depaul Dr, Ssm Rehabilitation Hospital, Saint Louis, MO 63117-1811 |
| William Daniel Spencer | Qualified Speech Language Pathologist | Ssm Select Rehab St Louis LLC | 1 Town and Country Market Pl, Warrenton, MO 63383-1372 |
| Sarah Ray | Qualified Speech Language Pathologist | Ssm Select Rehab St Louis LLC | 722 N Hwy 47, Warrenton, MO 63383-1108 |
| Tarah Freant | Qualified Speech Language Pathologist | Ssm Select Rehab St Louis LLC | 722 N Hwy 47, Warrenton, MO 63383-1108 |
| Amanda Ames | Occupational Therapy | Ssm Select Rehab St Louis LLC | 1 Town and Country Market Pl, Warrenton, MO 63383-1372 |
| Stephanie R Potts | Psychologist, Clinical | Ssm Select Rehab St Louis LLC | 12380 Depaul Dr, Ssm Rehabilitation Hospital, Saint Louis, MO 63117-1811 |
| Katie Aggarwal | Physical Therapy | Ssm Select Rehab St Louis LLC | 1 Town and Country Market Pl, Warrenton, MO 63383-1372 |
| Robert Graninger | Physical Therapy | Ssm Select Rehab St Louis LLC | 1 Town and Country Market Pl, Warrenton, MO 63383-1372 |
| Street Address |
148 PROFESSIONAL PKWY |
| City | TROY |
| State | MO |
| Zip | 63379-2823 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Bixby | Physical Therapy | Ssm Select Rehab St Louis LLC | 148 Professional Pkwy, Troy, MO 63379-2823 |
| Kelsey Warden | Physical Therapy | Ssm Select Rehab St Louis LLC | 148 Professional Pkwy, Troy, MO 63379-2823 |
| Leann Wood | Physical Therapy | Ssm Select Rehab St Louis LLC | 148 Professional Pkwy, Troy, MO 63379-2823 |
| Alyssa M Vinzon | Physical Therapy | Ssm Select Rehab St Louis LLC | 148 Professional Pkwy, Troy, MO 63379-2823 |
| Elizabeth Krueger | Physical Therapy | Ssm Select Rehab St Louis LLC | 148 Professional Pkwy, Troy, MO 63379-2823 |
| Christina D Welch | Physical Therapy | Ssm Select Rehab St Louis LLC | 148 Professional Pkwy, Troy, MO 63379-2823 |
| Erin M Brewer | Physical Therapy | Ssm Select Rehab St Louis LLC | 148 Professional Pkwy, Troy, MO 63379-2823 |
| Kelly Pietzman | Physical Therapy | Ssm Select Rehab St Louis LLC | 148 Professional Pkwy, Troy, MO 63379-2823 |
| Nicole Gebhardt | Physical Therapy | Ssm Select Rehab St Louis LLC | 148 Professional Pkwy, Troy, MO 63379-2823 |
| Elisabeth Nation | Physical Therapy | Ssm Select Rehab St Louis LLC | 148 Professional Pkwy, Troy, MO 63379-2823 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren N Carter | Chiropractic | Carter Family Chiropractic | 101 W College St, Suite 2, Troy, MO 63379-1124 |
| William T Hogarth | Chiropractic | 101 W College St, Suite 2, Troy, MO 63379-1124 | |
| Erica Patton | Chiropractic | 101 W College St, Suite 2, Troy, MO 63379-1124 | |
| Jessica M Downs | Optometry | Advanced Eyecare of Winfield LLC | 43 Ellis Ave, Troy, MO 63379-1151 |
| Stanley M Miller | Chiropractic | 241 Front St, Troy, MO 63379-1306 | |
| Christy M Hawkins | Nurse Practitioner | Hawkins Compassionate Care Clinic, LLC | 107 B N Lincoln Dr, Troy, MO 63379-1315 |
| Allan C Genteman | Family Medicine | Mercy Hospital Lincoln | 900 E Cherry St, Troy, MO 63379-1429 |
| Jeremy Talley | Family Medicine | Mercy Hospital Lincoln | 900 E Cherry St, Troy, MO 63379-1429 |
| Bhavana Choudhary | Critical Care (intensivists) | Mercy Hospital Lincoln | 900 E Cherry St, Troy, MO 63379-1429 |
| Judith A Moran | Certified Registered Nurse Anesthetist (crna) | Mercy Hospital Lincoln | 900 E Cherry St, Troy, MO 63379-1429 |
| Find all physicians in zip 63379 | |||
| City | TROY |
| Zip Code | 63379 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | TROY + OCCUPATIONAL THERAPY |
Please comment or provide details below to improve the information on Kathleen Finley Licavoli.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.