Pain and Rehabilitation Specialists of St. Louis

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

2009025407 Issued in MO

Legal business name

PAIN AND REHABILITATION SPECIALISTS OF ST. LOUIS

Practice address

14825 North Outer 40
Suite 360
Chesterfield, MO 63017

Phone

(314) 336-2750

Fax

(314) 336-2571

NPI assigned

Nov 10, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Karen O Wilson

Title

Office Manager

Phone

(636) 219-6634

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Helen Maureen Blake, M.D.

  • Interventional Pain Medicine Physician
  • Chesterfield, MO
  • NPI 1245438597
  NPD (past)
• Kaylea Marie Boutwell, M.D.

  • Interventional Pain Medicine Physician
  • Chesterfield, MO
  • NPI 1144425083
  NPD (past)

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1477880581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14825 NORTH OUTER 40",
            "address_2": "SUITE 360",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "314-336-2750",
            "fax_number": "314-336-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14825 NORTH OUTER 40",
            "address_2": "SUITE 360",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "314-336-2750",
            "fax_number": "314-336-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND REHABILITATION SPECIALISTS OF ST. LOUIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "636-219-6634",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MO",
            "license": "2009025407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M. Owens, MA, CCC-SLP SPEECH P
• P.R.I.M.E. Health Centers - Chesterfield, LLC
• PA Staffing
• Amy Lynn Pacanowski, P.T.
• Karen M Page, PT
• Pain and Rehabilitation Specialists, LLC
• Pain Management Partners LLC
• Jasmine Pakele, DC
• Jennifer Palada, PHARMD
• George Arthur Paletta Jr., M.D.

• Multi-Specialty Clinic/Center in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Multi-Specialty Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.