Organization Active NPI

Rehabcare Group East LLC

Doing business as RehabCare

  • Rehabilitation Clinic/Center
  • Fenton, MO
National Provider Identifier
1730165739
Registry record updated Oct 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
REHABCARE GROUP EAST LLC
Doing business as
RehabCare
Practice address
1393 Bowles Ave
Fenton, MO 63026-2339
Phone
(636) 326-9606
Fax
(847) 386-5196
NPI assigned
Dec 21, 2005
Last updated
Oct 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2026

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

Authorized official

Name
Denise Durham, PT
Title
Division Vice President
Phone
(678) 491-6692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1393 Bowles Ave
Fenton, MO 63026-2339

Mailing address

2600 Compass Rd
Glenview, IL 60026-8001
Phone (847) 441-5593

Other names 1

  • RehabCare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070103000538 MO Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0042128894 Practice locations: Dardenne Prairie, MO; Fenton, MO; Saint Clair, MO
O20210315000106 DC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0042128894 Receives reassigned benefits from 26 practitioners
Practice locations: Washington, DC

Other NPIs with the same Medicare PAC ID 20

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

View all 20

National Provider Directory

National Provider Directory

Member of 1

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

Locations

439 S Kirkwood Rd
Ste 200
Saint Louis, MO 63122
Phone (314) 822-6285

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792195200000",
    "number": "1730165739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 COMPASS RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268001",
            "telephone_number": "847-441-5593",
            "fax_number": "847-386-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 BOWLES AVE",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262339",
            "telephone_number": "636-326-9606",
            "fax_number": "847-386-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABCARE GROUP EAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2026-10-17",
        "certification_date": "2026-10-17",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "DIVISION VICE PRESIDENT",
        "authorized_official_telephone_number": "678-491-6692",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RehabCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RehabCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.