Active NPI
Rehab Dynamics, Inc.
- Physical Therapist
- Saint Louis, MO
National Provider Identifier
1003842485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- REHAB DYNAMICS, INC.
- Practice address
- 10435 Clayton Rd
Suite 10
Saint Louis, MO 63131-2909 - Phone
- (314) 442-6249
- Fax
- (314) 787-5949
- NPI assigned
- Jun 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Nicewanner, P.T.
- Title
- Director
- Phone
- (314) 442-6249
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
10435 Clayton Rd
Suite 10
Saint Louis, MO 63131-2909
Mailing address
10435 Clayton Rd
Suite 10
Saint Louis, MO 63131-2909
Phone (314) 442-6249
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 297989 | Other | MO | GHP |
| 5716981 | Other | MO | FIRST HEALTH |
| 211293 | Other | MO | ANTHEM |
| 699969 | Other | MO | UNITEDHEALTHCARE |
| 760676 | Other | MO | HEALTHLINK |
National Provider Directory
National Provider DirectoryLocations
10435 Clayton Rd
Ste 10
Saint Louis, MO 63131
Phone (314) 442-6249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003842485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10435 CLAYTON RD",
"address_2": "SUITE 10",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312909",
"telephone_number": "314-442-6249",
"fax_number": "314-787-5949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10435 CLAYTON RD",
"address_2": "SUITE 10",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312909",
"telephone_number": "314-442-6249",
"fax_number": "314-787-5949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB DYNAMICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NICEWANNER",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "314-442-6249",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "297989",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5716981",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "211293",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "699969",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "760676",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.