Organization Active NPI

Florissant Medical Rehab Group LLC

  • Physical Medicine & Rehabilitation Physician
  • Florissant, MO
National Provider Identifier
1841732898
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
FLORISSANT MEDICAL REHAB GROUP LLC
Practice address
1025 Dunn Rd
Florissant, MO 63031-8205
Phone
(314) 736-1333
NPI assigned
Nov 8, 2016
Last updated
Sep 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Authorized official

Name
Ahmed Syed Ali, MDNPI 1194887265
Title
Owner Partner
Phone
(314) 736-1333

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Family Medicine Physician 207Q00000X NU
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

1025 Dunn Rd
Florissant, MO 63031-8205

Mailing address

PO Box 6441
Chesterfield, MO 63006-6441
Phone (314) 736-1333

Other practice location 1

1548 Woodlake Dr
Chesterfield, MO 63017-5712
Phone (314) 736-1333

Other practice location 2

12101 Woodcrest Executive Dr Ste 105
Creve Coeur, MO 63141-5047
Phone (314) 736-1333

Other practice location 3

3915 Watson Rd Ste 205
Saint Louis, MO 63109-1251
Phone (314) 736-1333

Other identifiers 3

IdentifierTypeStateIssuer
500040207MedicaidMO
7592400001OtherMOMEDICARE NSC
1841732898MedicaidIL

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170103001130 MO Part B Supplier - Clinic/Group Practice 2769763812 Receives reassigned benefits from 2 practitioners
Practice locations: Fenton, MO; Saint Louis, MO; Saint Charles, MO; O Fallon, MO; Maryland Heights, MO; Herculaneum, MO; Florissant, MO; Festus, MO…
O20170425002608 MO DME Supplier - Physician - Physical and Rehabilitation 2769763812 Practice locations: Florissant, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2032066Florissant Medical Rehab Group LLC1025 Dunn Road, Florissant, MO 63031Certificate of waiverNov 2, 2027
26D2126889Florissant Medical Rehab Group LLC3915 Watson Rd Ste 205, Saint Louis, MO 63109Certificate of waiverMar 6, 2027
26D2290268Florissant Medical Rehab Group LLC1548 Woodlake Dr, Chesterfield, MO 63017Certificate of waiverSep 21, 2027

National Provider Directory

National Provider Directory

Locations

1548 Woodlake Dr
Chesterfield, MO 63017
Phone (314) 576-3737

1025 Dunn Rd
Florissant, MO 63031
Phone (314) 736-7333

12101 Woodcrest Executive Dr
Ste 105
Saint Louis, MO 63141

3535 S Jefferson Ave
Ste 307
Saint Louis, MO 63118

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758931200000",
    "number": "1841732898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6441",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630066441",
            "telephone_number": "314-736-1333",
            "fax_number": "314-736-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 DUNN RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318205",
            "telephone_number": "314-736-1333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1548 Woodlake Dr",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630175712",
            "country_code": "US",
            "telephone_number": "314-736-1333",
            "fax_number": "314-736-1336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12101 Woodcrest Executive Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Creve Coeur",
            "state": "MO",
            "postal_code": "631415047",
            "country_code": "US",
            "telephone_number": "314-736-1333",
            "fax_number": "314-736-1336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3915 Watson Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631091251",
            "country_code": "US",
            "telephone_number": "314-736-1333",
            "fax_number": "314-736-1336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORISSANT MEDICAL REHAB GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "SYED",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "314-736-1333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500040207",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "7592400001",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841732898",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2025; 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.