NPIMap

Organization Active NPI

Rehabilitation Professionals Inc

  • Physical Therapist
  • Clayton, MO
National Provider Identifier
1295899722
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
105413 Issued in MO
Legal business name
REHABILITATION PROFESSIONALS INC
Practice address
950 Francis PL Ste 115
Clayton, MO 63105-2465
Phone
(314) 916-8751
Fax
(314) 644-5730
NPI assigned
Dec 20, 2006
Last updated
Feb 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Mr. Jonathan Gordon, PTNPI 1104004886
Title
Vice President
Phone
(314) 644-1978

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 105413 MO Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 102882 MO
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 2005040574 MO
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X R0877 MO
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 02232 MO
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 2006032824 MO
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 002775 MO
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 2004006992 MO
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 146.007307 IL

Addresses

Primary practice location

950 Francis PL Ste 115
Clayton, MO 63105-2465

Mailing address

1034 S Brentwood Blvd
Suite 300
Richmond Heights, MO 63117-1203
Phone (314) 644-1978

Other practice location 1

8 Millstone Campus Dr
Saint Louis, MO 63146-5766
Phone (314) 648-3003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040528000819 MO Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 8224923800 Practice locations: Clayton, MO; Saint Louis, MO; Webster Groves, MO
O20240313003330 MO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8224923800 Receives reassigned benefits from 14 practitioners
Practice locations: Saint Louis, MO; Clayton, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295899722. Details of each certification follow.

  • CCN 266641 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 266641

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
REHABILITATION PROFESSIONALS INC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Mar 15, 2005
Last certification
Nov 3, 2022
Ownership / control type
Proprietary
Facility address
950 Francis Place, Suite 115
Clayton, MO 63105

National Provider Directory

National Provider Directory

Locations

1 Strecker Rd
Ellisville, MO 63011
Phone (636) 207-3720

1625 Washington St
Florissant, MO 63033
Phone (314) 921-5118

6744 Clayton Rd
Ste 220
Saint Louis, MO 63117
Phone (314) 647-0495

8 Millstone Campus Dr
Ste 1000
Saint Louis, MO 63146
Phone (314) 648-3003

8350 Delcrest Dr
Saint Louis, MO 63124
Phone (314) 849-1003

9373 Garber Rd
Saint Louis, MO 63126
Phone (314) 842-5777

950 Francis Pl
Ste 115
Saint Louis, MO 63105
Phone (314) 725-4359

6774 Mexico Rd
Saint Peters, MO 63376
Phone (314) 278-5125

Practitioners & affiliated clinicians

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1295899722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD",
            "address_2": "SUITE 300",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171203",
            "telephone_number": "314-644-1978",
            "fax_number": "314-647-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 FRANCIS PL STE 115",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631052465",
            "telephone_number": "314-916-8751",
            "fax_number": "314-644-5730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Millstone Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631465766",
            "country_code": "US",
            "telephone_number": "314-648-3003",
            "fax_number": "314-991-8714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REHABILITATION PROFESSIONALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "314-644-1978",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "105413",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "102882",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2005040574",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "R0877",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "02232",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2006032824",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "002775",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2004006992",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.007307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, MO

Sources for this page

Verify at the official NPI Registry.