Prorehab PC

Organization Active NPI Physical Therapist · Saint Louis, MO

NPI 1053820175 · NPPES record last updated Sep 20, 2017

Key facts

NPI
1053820175
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
PROREHAB PC
Practice address
11525 Olde Cabin Rd Ste 1
Saint Louis, MO 63141-7146
Phone
(636) 239-9979
Fax
(636) 239-5442
NPI assigned
Sep 20, 2017
Organization subpart
No

Authorized official

Name
Geri Cook
Title
VP of Billing Operations
Phone
(630) 575-1940

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Prorehab PC (13 organizations share this tax ID)

Locations

11525 Olde Cabin Rd
Ste 1
Saint Louis, MO 63141
Phone (636) 239-9979

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
225100000X Yes
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

11525 Olde Cabin Rd Ste 1
Saint Louis, MO 63141-7146

Mailing address

625 Enterprise Dr
Oak Brook, IL 60523-8813

Other providers in Saint Louis, MO

All providers in Saint Louis, MO · Physical Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.