Active NPI
Rehab in Action, LLC
- Physical Medicine & Rehabilitation Physician
- Chesterfield, MO
National Provider Identifier
1033512017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- REHAB IN ACTION, LLC
- Practice address
- 14709 Olive Blvd
Chesterfield, MO 63017-2221 - Phone
- (314) 317-5803
- Fax
- (314) 317-5948
- NPI assigned
- Oct 3, 2014
- 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
- Mariam Chowdhry, D.O.
- Title
- President
- Phone
- (314) 317-5803
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
14709 Olive Blvd
Chesterfield, MO 63017-2221
Mailing address
PO Box 50037
Saint Louis, MO 63105-5037
Phone (314) 317-5803
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215108337 | Medicaid | MO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420761600000",
"number": "1033512017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50037",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631055037",
"telephone_number": "314-317-5803",
"fax_number": "314-317-5948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14709 OLIVE BLVD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630172221",
"telephone_number": "314-317-5803",
"fax_number": "314-317-5948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB IN ACTION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-03",
"last_updated": "2015-01-09",
"status": "A",
"authorized_official_last_name": "CHOWDHRY",
"authorized_official_first_name": "MARIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-317-5803",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215108337",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.