Organization Active NPI

Associated Rehabilitation Services, Inc.

  • Rehabilitation Clinic/Center
  • Independence, MO
National Provider Identifier
1235175167
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ASSOCIATED REHABILITATION SERVICES, INC.
Doing business as
Associated Rehab of Missouri
Practice address
1415 W White Oak St
Independence, MO 64050-2590
Phone
(816) 254-3500
Fax
(816) 521-4942
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Authorized official

Name
Ms. Catherine A Dulle
Title
President/Ceo
Phone
(314) 506-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1415 W White Oak St
Independence, MO 64050-2590

Mailing address

2127 Innerbelt Business Center Dr
Suite 107
Saint Louis, MO 63114-5700
Phone (314) 506-8800

Other identifiers 1

IdentifierTypeStateIssuer
571771302MedicaidMO

Other names 1

  • Associated Rehab of Missouri Doing business as

National Provider Directory

National Provider Directory

Locations

2127 Innerbelt Business Center Dr
Ste 107
Saint Louis, MO 63114
Phone (314) 506-8800

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1235175167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 INNERBELT BUSINESS CENTER DR",
            "address_2": "SUITE 107",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631145700",
            "telephone_number": "314-506-8800",
            "fax_number": "314-506-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W WHITE OAK ST",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640502590",
            "telephone_number": "816-254-3500",
            "fax_number": "816-521-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED REHABILITATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "DULLE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "314-506-8800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "571771302",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Rehab of Missouri",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.