Prorehab, PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PROREHAB, PC

Doing business as

Athletico Physical Therapy

Practice address

134 Chesterfield Valley Dr
Chesterfield, MO 63005-1161

Phone

(636) 812-0094

Fax

(636) 812-0152

NPI assigned

May 18, 2006

Last updated

Jul 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Geri Cook

Title

Director of Clinical Services

Phone

(630) 575-1940

Specialties & licenses 1

Addresses

Other names 1

• ATHLETICO PHYSICAL THERAPY Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Oxford, MS
  • NPI 1477224814

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1245283381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 CHESTERFIELD VALLEY DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051161",
            "telephone_number": "636-812-0094",
            "fax_number": "636-812-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROREHAB, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "GERI",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "630-575-1940"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATHLETICO PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maya Marie Prince, DPT
• Julie Ann Probus-Schad, LCSW
• Jayma Layne Proctor, AU.D.
• Robert James Profumo, MD
• Prorehab PC (Athletico Physical Therapy)
• Nicolette Prosser, FNP
• Provide Dental (Provide Dental- Chesterfield)
• Provide Dental (Provide Dental- Chesterfield)
• Gregory A Pucel, D D S
• Cara Pulcher, COTA

• Physical Therapy Clinic/Center in Chesterfield, MO
• Providers in Chesterfield, 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 Jul 11, 2016; 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.