Individual provider Active NPI

Inna Rakhmanova

  • Physical Therapist
  • Chesterfield, MO
National Provider Identifier
1750728366
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2013013518 Issued in MO
Practice address
1585 Woodlake Dr
Suite 214
Chesterfield, MO 63017-5740
Phone
(314) 275-8737
Fax
(314) 205-1508
NPI assigned
May 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2013013518 MO Primary

Addresses

Primary practice location

1585 Woodlake Dr
Suite 214
Chesterfield, MO 63017-5740

Mailing address

1585 Woodlake Dr
Suite 214
Chesterfield, MO 63017-5740
Phone (314) 275-8737

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131113001156 MO Practitioner - Physical Therapist in Private Practice 2860628286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Professionals IncGroup PAC ID 8224923800, 13 clinicians

Practice addresses (Care Compare)

8 Millstone Campus Dr
Suite 1000
Saint Louis, MO 63146-5761
Phone (314) 648-3003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2013013518MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Professionals Inc Physical Therapist CurrentSince Feb 10, 2024 Accepting new patients

Locations

950 Francis Pl
Ste 115
Saint Louis, MO 63105
Phone (314) 725-4359

8 Millstone Campus Dr
Ste 1000
Saint Louis, MO 63146
Phone (314) 648-3003

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1750728366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 WOODLAKE DR",
            "address_2": "SUITE 214",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175740",
            "telephone_number": "314-275-8737",
            "fax_number": "314-205-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 WOODLAKE DR",
            "address_2": "SUITE 214",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175740",
            "telephone_number": "314-275-8737",
            "fax_number": "314-205-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKHMANOVA",
        "first_name": "INNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2013013518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.