Active NPI
SSM Select Rehab St. Louis, LLC
Doing business as SSM Health PT
- Rehabilitation Hospital
- Warrenton, MO
National Provider Identifier
1104474006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- Legal business name
- SSM SELECT REHAB ST. LOUIS, LLC
- Doing business as
- SSM Health PT
- Practice address
- 508 W Veterans Memorial Pkwy
Warrenton, MO 63383-1046 - Phone
- (636) 202-2770
- Fax
- (636) 235-4155
- NPI assigned
- Sep 4, 2019
- Last updated
- Oct 21, 2025
- 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
- John F Duggan
- Title
- Vice President
- Phone
- (717) 972-1100
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Rehabilitation Clinic/Center | 261QR0400X | |||
| Rehabilitation Hospital | 283X00000X | Primary |
Addresses
Primary practice location
508 W Veterans Memorial Pkwy
Warrenton, MO 63383-1046
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100
Other names 1
- SSM Health PT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180725001037 | MO | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 2567510449 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Troy, MO; Warrenton, MO; Winfield, MO |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba SSM Physical Therapy
- Rehabilitation Hospital
- Warrenton, MO
- NPI 1043450828
O20180725001037
-
- Rehabilitation Hospital
- Warrenton, MO
- NPI 1356891600
O20180725001037
-
dba SSM Health Physical Therapy
- Rehabilitation Hospital
- Winfield, MO
- NPI 1477101376
O20180725001037
National Provider Directory
National Provider DirectoryLocations
508 W Veterans Memorial Pkwy
Warrenton, MO 63383
Phone (636) 202-2770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761004800000",
"number": "1104474006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4714 GETTYSBURG RD",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554325",
"telephone_number": "717-972-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 W VETERANS MEMORIAL PKWY",
"city": "WARRENTON",
"state": "MO",
"postal_code": "633831046",
"telephone_number": "636-202-2770",
"fax_number": "636-235-4155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SSM SELECT REHAB ST. LOUIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-04",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A",
"authorized_official_last_name": "DUGGAN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "717-972-1100"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SSM Health PT",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SSM Health PT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Warrenton, MO
- Adam Sparks, DPT, ATC
- Sport and Spine Chiropractic Center LLC
- SSM Cardinal Glennon Children's Hospital (SSM Health Cardinal Glennon Pediatrics)
- SSM Medical Group Inc. (SSM Health Medical Group)
- SSM Select Rehab St Louis LLC (SSM Physical Therapy)
- SSM Select Rehab St. Louis, LLC
- SSM St. Charles Clinic Medical Group, Inc. (SSM Health Medical Group)
- SSM St. Joseph Hospital West (St. Joseph Warrenton Urgent Care)
- Sarah Lynn Stanton, DC
- Steadfast Spine and Sports Medicine of Warrenton LLC (Steadfast Spine and Sports Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.