Active NPI
South St. Louis Rehab Institute, Inc.
- Ergonomics Occupational Therapist
- Saint Louis, MO
National Provider Identifier
1164538716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ergonomics Occupational Therapist
- Legal business name
- SOUTH ST. LOUIS REHAB INSTITUTE, INC.
- Practice address
- 11628 Old Ballas Rd
Saint Louis, MO 63141-7030 - Phone
- (314) 996-3500
- Fax
- (314) 996-3501
- NPI assigned
- Aug 23, 2006
- 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
- Mr. Jason Kyle Huber
- Title
- Billing Manager
- Phone
- (314) 996-3500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | MO | ||
| Ergonomics Occupational Therapist | 225XE1200X | MO | Primary |
Addresses
Primary practice location
11628 Old Ballas Rd
Saint Louis, MO 63141-7030
Mailing address
11628 Old Ballas Rd
Saint Louis, MO 63141-7030
Phone (314) 996-3500
Other names 1
- WEST COUNTY SPORTS FITNESS & REHABILITATION CENTER
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1164538716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11628 OLD BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417030",
"telephone_number": "314-996-3500",
"fax_number": "314-996-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11628 OLD BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417030",
"telephone_number": "314-996-3500",
"fax_number": "314-996-3501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH ST. LOUIS REHAB INSTITUTE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "HUBER",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "KYLE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "314-996-3500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "MO",
"license": null,
"primary": false
},
{
"code": "225XE1200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Ergonomics",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WEST COUNTY SPORTS FITNESS & REHABILITATION CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Louis, MO
- South County Vascular Associates, LLC
- South County Women'S Health, P.C.
- South Side Counseling Inc
- South St Louis Medical Associates LLC
- South St Louis Orthopedic Group Inc
- South St. Louis Rehabilitation Institute, Inc.
- Isabelle Thala Reed South, PA
- Carmen J Southall-Wamhoff
- Southampton Community Healthcare Inc
- Southampton Dental LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.