Jefferson County Rehabilitation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

00947 Issued in MO

Legal business name

JEFFERSON COUNTY REHABILITATION

Practice address

1330 YMCA Dr
Suite 1200
Festus, MO 63028-2661

Phone

(636) 931-7600

Fax

(636) 931-8808

NPI assigned

Mar 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Thomas Cibulka, PT

Title

Owner

Phone

(636) 931-7600

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Christine Watkins, PT, DPT, OCS, ATC

  • Physical Therapist
  • Creve Coeur, MO
  • NPI 1114012515
  NPD (past)
• Deanna C Wilken, P.T.A.

  • Physical Therapy Assistant
  • Festus, MO
  • NPI 1760634901
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1154445369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 YMCA DR",
            "address_2": "SUITE 1200",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282661",
            "telephone_number": "636-931-7600",
            "fax_number": "636-931-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 YMCA DR",
            "address_2": "SUITE 1200",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282661",
            "telephone_number": "636-931-7600",
            "fax_number": "636-931-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "CIBULKA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-931-7600",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "00947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Oberkfell, D.D.S., LLC
• Jefferson Cardiovascular and Thoracic Services
• Jefferson County Internal Medicine P.C.
• Jefferson County Physicians
• Jefferson County Pulmonary & Sleep Medicine
• Jefferson Memorial Association
• Jefferson Memorial Hospital
• Jefferson Memorial Hospital
• Jefferson Memorial Hospital Association
• Jefferson Memorial Surgical Partners LLC

• Physical Therapy Clinic/Center in Festus, MO
• Providers in Festus, MO by specialty
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.