Active NPI
Rehabilitation Professionals Inc
- Physical Therapist
- Clayton, MO
National Provider Identifier
1295899722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 105413
- 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
- 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. Jonathan Gordon, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 105413 | MO | Primary |
| Physical Therapist | 225100000X | 102882 | MO | |
| Physical Therapist | 225100000X | 2005040574 | MO | |
| Physical Therapist | 225100000X | R0877 | MO | |
| Physical Therapist | 225100000X | 02232 | MO | |
| Physical Therapist | 225100000X | 2006032824 | MO | |
| Occupational Therapist | 225X00000X | 002775 | MO | |
| Speech-Language Pathologist | 235Z00000X | 2004006992 | MO | |
| Speech-Language Pathologist | 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
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120047 | Other | MO | BCBS PROVIDER NUMBER |
| 990001493 | Other | MO | TRICARE PROVIDER NUMBER |
| 481617 | Other | MO | HEALTHLINK PROVIDER NUMBE |
| 120764 | Other | MO | BCBS PROVIDER NUMBER |
| 120046 | Other | MO | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
National Provider DirectoryLocations
14525 Clayton Rd
Ballwin, MO 63011
Phone (636) 220-1386
1625 Washington St
Florissant, MO 63033
Phone (314) 921-5118
600 Rivers Edge Dr
Saint Charles, MO 63303
Phone (314) 726-5600
4474 Butler Hill Rd
Saint Louis, MO 63128
Phone (314) 701-7190
8350 Delcrest Dr
Saint Louis, MO 63124
Phone (314) 849-1003
8 Millstone Campus Dr
Ste 1000
Saint Louis, MO 63146
Phone (314) 648-3003
950 Francis Pl
Ste 115
Saint Louis, MO 63105
Phone (314) 725-4359
9373 Garber Rd
Saint Louis, MO 63126
Phone (314) 842-5777
6744 Clayton Rd
Ste 220
Saint Louis, MO 63117
Phone (314) 647-0495
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.
-
- Physical Therapist
- Saint Louis, MO
- NPI 1588181333
MO, Physical Therapist
-
- Physical Therapist
- Saint Louis, MO
- NPI 1871154005
MO, Physical Therapist
-
- Physical Rehabilitation Occupational Therapist
- Saint Louis, MO
- NPI 1861369894
MO
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "120047",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE PROVIDER NUMBER",
"identifier": "990001493",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK PROVIDER NUMBE",
"identifier": "481617",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "120764",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "120046",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clayton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.