Prorehab, PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PROREHAB, PC

Doing business as

Athletico Physical Therapy

Practice address

784 Gravois Bluffs Blvd
Fenton, MO 63026-7726

Phone

(636) 349-8060

Fax

(636) 349-9171

NPI assigned

May 18, 2006

Last updated

Jul 13, 2016By 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

Geri Cook

Title

Director of Clinical Services

Phone

(630) 575-1940

Specialties & licenses 1

Addresses

Other names 1

• ATHLETICO PHYSICAL THERAPY Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Saint Louis, MO
  • NPI 1174126544

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1437102894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 GRAVOIS BLUFFS BLVD",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630267726",
            "telephone_number": "636-349-8060",
            "fax_number": "636-349-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROREHAB, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "GERI",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "630-575-1940"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATHLETICO PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meghan Potts, MA
• Megan Poucher
• Timothy James Pratt, M.D.
• Bryant James Price, MSN, BC, GNP, ANP
• Pro Pain LLC
• Emily Rose Prost
• Daniel Gerard Puetz, O.D.
• Kristen Anne Puff, DNP, AGACNP-BC
• Kristopher Vaughn Pullam, MD
• Heather M Quist, FNP-C

• Physical Therapy Clinic/Center in Fenton, MO
• Providers in Fenton, 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 Jul 13, 2016; 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.