Jade Rainbolt

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2020018919 Issued in MO

Practice address

7873 Highway N
Dardenne Prairie, MO 63368-6704

Phone

(636) 229-1777

NPI assigned

Aug 19, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jade McFarland Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Back 2 Motion Rehab, LLC

  • Physical Therapist
  • Dardenne Prairie, MO
  • NPI 1942665260
  NPD
• CRPT, LLC

  • Physical Therapist
  • Maryland Heights, MO
  • NPI 1851756217
  NPD (past)

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1225640402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 FOUNTAIN GRASS DR",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633674126",
            "telephone_number": "217-801-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7873 HIGHWAY N",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633686704",
            "telephone_number": "636-229-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINBOLT",
        "first_name": "JADE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2020018919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JADE",
            "last_name": "MCFARLAND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Francis Jay Ohmes, DDS
• Lisa M Panicola
• Dennis Pezzani
• Aaron W Pieper, DMD
• Shirin Pinto, MD
• Deborah Mary Riggs, LPC
• Meredith Roach
• Ana Elizabeth Russell
• Linda C Sachsdebold, RN
• Shelly Lynn Sarich, D.D.S., M.S.

• Physical Therapist in Dardenne Prairie, MO
• Providers in Dardenne Prairie, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.