Rehab Management Group, LLC
Organization Active NPI Physical Therapy Clinic/Center · O Fallon, IL
NPI 1801189642 · NPPES record last updated Nov 7, 2024
Key facts
- NPI
- 1801189642
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- REHAB MANAGEMENT GROUP, LLC
- Practice address
- 210 Hartman LN
Ste 500
O Fallon, IL 62269-1779 - Phone
- (618) 589-9000
- Fax
- (618) 589-9005
- NPI assigned
- May 26, 2011
- Organization subpart
- No
Authorized official
- Name
- John Hettenhausen
- Title
- Partner
- Phone
- (618) 589-9000
Practitioners 8
-
Nicole A Amos, PT
-
Megan Kamp, DPT
-
Dustin Richert, PT
-
Jason L Baxter, OTR/L
-
Michele R Morris, P.T.
-
Kristin Nicole Kellim, M.P.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110825000403 | IL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 6103096391 |
Receives reassigned benefits from 4 practitioners Practice locations: O Fallon, IL |
National Provider Directory
Locations
210 Hartman Ln
Ste 500
O Fallon, IL 62269
Phone (618) 589-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
210 Hartman LN
Ste 500
O Fallon, IL 62269-1779
Mailing address
15 Apex Dr
Highland, IL 62249-1282
Phone (877) 224-4354
Other names
- ApexNetwork Physical Therapy
Other providers in O Fallon, IL
- Recovery Through Movement LLC
- Redbird Pediatrics, PLLC
- Adela Redzic
- Holly Regel
- Regency Park Medical Group LLC
- Rehabilitation Professionals, Inc
- Hasan Rehman
- Brian August Reichardt
- Phebe Roseann Reifschneider
- Kenneth G. Reinert
All providers in O Fallon, IL · Physical Therapy Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.