Specialty Rehab & Wellness

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

2000175372 Issued in MO

Legal business name

SPECIALTY REHAB & WELLNESS

Practice address

3309 Crystal Lake Dr
Festus
Festus, MO 63028-4274

Phone

(314) 313-1088

NPI assigned

Aug 22, 2016

Organization subpart

No

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

Authorized official

Name

Shelly L Blankenship, MS, OTR/L, CLTNPI 1881142792

Title

Owner/Occupational Therapist

Phone

(314) 313-1088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

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

• Shelly Blankenship, MS,OTR/L

  • Occupational Therapist
  • Festus, MO
  • NPI 1881142792
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1548715402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 CRYSTAL LAKE DR",
            "address_2": "FESTUS",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284274",
            "telephone_number": "314-313-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 CRYSTAL LAKE DR",
            "address_2": "FESTUS",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284274",
            "telephone_number": "314-313-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY REHAB & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "BLANKENSHIP",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "314-313-1088",
        "authorized_official_credential": "MS, OTR/L, CLT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MO",
            "license": "2000175372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tylor John Sousa, RD
• South County Internal Medicine Physicians, LLC
• Southern Missouri Infectious Disease Specialists LLC
• Tamara Spain, CHW-C
• David Clayton Spaulding
• Katherine Speck, MA
• Meredith Leigh Spezia
• Amanda Nicole Sprinkles
• Mark H. Spurrier, M.D.
• Casey St Louis Mills

• Rehabilitation Clinic/Center in Festus, MO
• Providers in Festus, 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 Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.