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

Last updated

Mar 24, 2014By 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

Merlinda T Eulalia, RPTNPI 1982981981

Title

President

Phone

(314) 629-8107

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Merlinda T Eulalia, PHYSICAL THERAPIST

  • Geriatric Physical Therapist
  • Bridgeton, MO
  • NPI 1982981981
  Authorized official Same address or phone

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.