Rehab Missouri, LLC.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

REHAB MISSOURI, LLC.

Doing business as

Rehab Xcel

Practice address

7204 Executive Pkwy
House Springs, MO 63051-2981

Phone

(636) 671-2400

Fax

(636) 671-2403

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Jayne Fleck Pool

Title

Chief Compliance Officer

Phone

(469) 467-8705

Specialties & licenses 1

Addresses

Other names 1

• Rehab Xcel Doing business as

Locations

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1578509014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 COIT RD",
            "address_2": "SUITE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753769",
            "telephone_number": "469-467-8705",
            "fax_number": "267-321-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7204 EXECUTIVE PKWY",
            "city": "HOUSE SPRINGS",
            "state": "MO",
            "postal_code": "630512981",
            "telephone_number": "636-671-2400",
            "fax_number": "636-671-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB MISSOURI, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "POOL",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_middle_name": "FLECK",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "469-467-8705"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab Xcel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Rea O'Reilly, RPH
• Stefani Poelker, LCSW
• Prorehab, PC (Athletico Physical Therapy)
• Charles Robert Purdy Jr., RN
• Josephine Reale
• Amanda Rideout
• Leon Romaine, O.D.
• Kenneth Earl Ross, DO
• Stacey Ann Roth, LPC
• Ryan W. Klohr, DMD, LLC

• Physical Therapy Clinic/Center in House Springs, MO
• Providers in House Springs, MO by specialty
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.