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SSM Select Rehab St Louis LLC

Organization Active NPI Physical Medicine & Rehabilitation Physician · Richmond Heights, MO

NPI 1558403261 · NPPES record last updated Aug 20, 2026

Key facts

NPI
1558403261
Entity type
Organization (NPI type 2)
Primary specialty
Physical Medicine & Rehabilitation Physician 208100000X
Legal business name
SSM SELECT REHAB ST LOUIS LLC
Practice address
1027 Bellevue Avenue
Richmond Heights, MO 63117
Phone
(314) 768-8000
NPI assigned
Feb 12, 2007
Organization subpart
No

Authorized official

Name
John F Duggan
Title
Vice President
Phone
(717) 972-1100

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

Member of 4

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners 139

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

View all 139

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100423000488 MO Part B Supplier - Clinic/Group Practice 2567510449 Receives reassigned benefits from 10 practitioners
Practice locations: Lake St Louis, MO; Richmond Heights, MO; Saint Louis, MO

National Provider Directory

Tax ID family
SSM Select Rehab LLC (9 organizations share this tax ID)

Locations

219 E Vandalia St
Edwardsville, IL 62025
Phone (618) 659-9666

1901 Frank Scott Pkwy E
Shiloh, IL 62269
Phone (618) 235-0514

15587 Manchester Rd
Ballwin, MO 63011
Phone (636) 256-0300

3446 McKelvey Rd
Bridgeton, MO 63044
Phone (314) 298-0353

429 Meramec Blvd
Eureka, MO 63025
Phone (636) 938-9373

3501 Dunn Rd
Ste 108
Florissant, MO 63033
Phone (314) 839-0002

3501 Dunn Rd
Florissant, MO 63033
Phone (314) 839-0002

1 Village Square Shop Ctr
#A
Hazelwood, MO 63042

32 Dillon Plaza Dr
High Ridge, MO 63049
Phone (636) 677-3100

2394 Highway K
O Fallon, MO 63368
Phone (636) 978-3711

2730 W Osage St
Pacific, MO 63069
Phone (636) 271-2390

307 Noonan Dr
Ste 100
Pacific, MO 63069
Phone (636) 271-9660

300 1st Capitol Dr
Fl 4
Saint Charles, MO 63301
Phone (636) 947-5302

1551 Wall St
Ste 110
Saint Charles, MO 63303
Phone (636) 493-9008

300 1st Capitol Dr
Ste 101
Saint Charles, MO 63301

3789 New Town Blvd
Saint Charles, MO 63301
Phone (636) 669-2377

1027 Bellevue Ave
Ste 142
Saint Louis, MO 63117
Phone (314) 447-9705

6420 Clayton Rd
Fl 6
Saint Louis, MO 63117
Phone (314) 768-5205

600 Medical Dr
Ste 109
Wentzville, MO 63385
Phone (636) 327-1170

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP		 103T00000X
Physical Medicine & Rehabilitation Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208100000X Yes

Addresses

Primary practice location

1027 Bellevue Avenue
Richmond Heights, MO 63117

Mailing address

4714 Gettysburg Rd
Attn Legal Department
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

Other providers in Richmond Heights, MO

All providers in Richmond Heights, MO · Physical Medicine & Rehabilitation Physician in Missouri

Sources for this page

Verify at the official NPI Registry.