Organization Active NPI

Rehab in Action, LLC

  • Physical Medicine & Rehabilitation Physician
  • Chesterfield, MO
National Provider Identifier
1033512017
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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

Updated by the provider on Jan 9, 2015

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1215108337MedicaidMO

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.