Full Circle Rehab LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

2006028602 Issued in MO

Legal business name

FULL CIRCLE REHAB LLC

Practice address

1000 Des Peres Rd
120
Saint Louis, MO 63131-2050

Phone

(314) 495-8718

Fax

(314) 962-7701

NPI assigned

Jul 15, 2009

Organization subpart

No

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

Authorized official

Name

Anne Genevieve Shannon, P.T.

Title

Owner

Phone

(314) 495-8718

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1508096306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ANGEST CIR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194201",
            "telephone_number": "314-495-8718",
            "fax_number": "314-962-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DES PERES RD",
            "address_2": "120",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312050",
            "telephone_number": "314-495-8718",
            "fax_number": "314-962-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "GENEVIEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-495-8718",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MO",
            "license": "2006028602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Elizabeth Fuhrmann
• Mary Fujarski, PA
• Carolyn Fulgham
• Madelyn Fulkerson, PT
• Full Circle Home Health Services LLC
• Full Potential Residential Services, LLC
• Michael Paul Fullenkamp, M.D.
• Kim A. Fuller-Barnes
• Brian Matthew Fuller, MD
• Dennis Paul Fuller, PHD CCC SLP

• Rehabilitation Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Rehabilitation Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.