Joint Venture Rehabilitation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

01532 Issued in MO

Legal business name

JOINT VENTURE REHABILITATION

Practice address

763 S New Ballas Rd
200
Saint Louis, MO 63141-8704

Phone

(314) 991-2562

NPI assigned

Dec 3, 2008

Organization subpart

No

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

Authorized official

Name

Shawn Kelly Everson, PT, DPT, OCS, MTC

Title

Physical Therapist/Owner

Phone

(314) 991-2562

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1295970325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 S NEW BALLAS RD",
            "address_2": "200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418704",
            "telephone_number": "314-991-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 S NEW BALLAS RD",
            "address_2": "200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418704",
            "telephone_number": "314-991-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINT VENTURE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "EVERSON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "314-991-2562",
        "authorized_official_credential": "PT, DPT, OCS, MTC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "01532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Gayle Johnston, LPC
• Rhonda Anne Johnston, MS
• Richard Johnston, MD
• Sarah Elizabeth Johnston, COTA/L
• Cecilia Louise Joines, PT, DPT
• Christie Jok
• Aimee R Jokerst, D.C.
• Alexandra Jokisch, RN
• Lynelle A Jolliff, ANP
• Brittany Jolly-Fogel

• Physical Therapy Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, 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 Jun 22, 2009; 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.