Prorehab PC
Organization Active NPI Multi-Specialty Clinic/Center · Saint Louis, MO
NPI 1114538097 · NPPES record last updated Aug 13, 2020
Key facts
- NPI
- 1114538097
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- PROREHAB PC
- Practice address
- 3156 Telegraph Rd
Saint Louis, MO 63125-5500 - Phone
- (314) 894-8616
- Fax
- (314) 894-8633
- NPI assigned
- Aug 13, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- PROREHAB PC
Authorized official
- Name
- Juana Granados
- Title
- Credentialing Manager
- Phone
- (630) 575-1980
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Prorehab PC
- Part of
- Prorehab PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
3156 Telegraph Rd
Saint Louis, MO 63125-5500
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6200
Other names
- ATHLETICO PHYSICAL THERAPY
Other providers in Saint Louis, MO
- Proper Care Home Health LLC
- Robert Prophete
- Brooks Joshua Propst
- Katharine Propst
- Prorehab PC
- Prorehab PC
- Prorehab PC
- Prorehab, PC
- Prorehab, PC
- Prorehab, PC
All providers in Saint Louis, MO · Multi-Specialty Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.