NPIMap

Organization Active NPI

SSM Select Rehab St Louis LLC

  • Physical Medicine & Rehabilitation Physician
  • Richmond Heights, MO
National Provider Identifier
1558403261
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 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
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

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

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
SSM Physical Therapy9 organizations share this tax ID, including this one

Other organizations with this 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.

Locations

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

3533 Dunn Rd
Ste 232
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

101 Civic Center Dr
Lake St Louis, MO 63367
Phone (636) 561-1922

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

1475 Kisker Rd
Ste 150
Saint Charles, MO 63304
Phone (636) 498-7474

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

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

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

12382 Olive Blvd
Saint Louis, MO 63141
Phone (314) 453-9675

201 S Kirkwood Rd
Saint Louis, MO 63122
Phone (314) 984-9220

6555 Chippewa St
Ste 125
Saint Louis, MO 63109
Phone (314) 781-0011

Practitioners & affiliated clinicians

Practitioners 139

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 139

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1558403261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "ATTN LEGAL DEPARTMENT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 BELLEVUE AVENUE",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "63117",
            "telephone_number": "314-768-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM SELECT REHAB ST LOUIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Heights, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.