Physical Therapy & Rehabilitation Services, LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

R1038 Issued in MO

Legal business name

PHYSICAL THERAPY & REHABILITATION SERVICES, LLC

Practice address

4072 Lockport Drive
None
Bridgeton, MO 63044

Phone

(314) 629-8107

NPI assigned

Mar 24, 2014

Organization subpart

No

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

Authorized official

Name

Merlinda T Eulalia, RPT

Title

President

Phone

(314) 629-8107

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1366869703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4072 LOCKPORT DRIVE",
            "address_2": "NONE",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "63044",
            "telephone_number": "314-629-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4072 LOCKPORT DRIVE",
            "address_2": "NONE",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "63044",
            "telephone_number": "314-629-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY & REHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "EULALIA",
        "authorized_official_first_name": "MERLINDA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-629-8107",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "MO",
            "license": "R1038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Kay Peters, M.A., PLPC
• Emma Petrofsky, LMSW
• Rachel Petrov
• Ellen Pfeiffer
• Hayley M Phelps, DPM
• Physicians Surgery Center at Depaul LLC
• Physicians' Ambulatory Anesthesia Services, LLC
• Anne Piche-Radley, M.D.
• Nicholas Mueller Piening, MD
• Frantz A Pierre, MD

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.