Organization Active NPI

Invigorate Rehab Inc

  • Rehabilitation Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1831442540
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
2012012469 Issued in MO
Legal business name
INVIGORATE REHAB INC
Practice address
1722 Olive St Ste 201
Saint Louis, MO 63103-1700
Phone
(517) 410-7880
Fax
(314) 261-9222
NPI assigned
Oct 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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

Authorized official

Name
Dr. Hassan R Jafri, DPTNPI 1194067116
Title
President / Owner
Phone
(517) 410-7880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 2012012469 MO Primary
Rehabilitation Clinic/Center 261QR0400X 070018807 IL

Addresses

Primary practice location

1722 Olive St Ste 201
Saint Louis, MO 63103-1700

Mailing address

1722 Olive St Ste 201
Saint Louis, MO 63103-1700
Phone (517) 410-7880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130425000339 MO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9335392133 Receives reassigned benefits from 1 practitioner
Practice locations: Bridgeton, MO
O20180317000055 MO DME Supplier - Independently-Practicing Physical Therapist 9335392133 Practice locations: Bridgeton, MO

National Provider Directory

National Provider Directory

Locations

12800 Boenker Ln
Ste 100
Bridgeton, MO 63044
Phone (314) 499-6060

1722 Olive St
Ste 201
Saint Louis, MO 63103
Phone (314) 467-8506

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1831442540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 OLIVE ST STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031700",
            "telephone_number": "517-410-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 OLIVE ST STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031700",
            "telephone_number": "517-410-7880",
            "fax_number": "314-261-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVIGORATE REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "JAFRI",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "517-410-7880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MO",
            "license": "2012012469",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "IL",
            "license": "070018807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.