Active NPI
Florissant Medical Rehab Group LLC
- Physical Medicine & Rehabilitation Physician
- Florissant, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ahmed Syed Ali, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500040207 | Medicaid | MO | |
| 7592400001 | Other | MO | MEDICARE NSC |
| 1841732898 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2032066 | Florissant Medical Rehab Group LLC | Certificate of waiver | Nov 2, 2027 |
| 26D2126889 | Florissant Medical Rehab Group LLC | Certificate of waiver | Mar 6, 2027 |
| 26D2290268 | Florissant Medical Rehab Group LLC | Certificate of waiver | Sep 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Medicine & Rehabilitation Physician
- Florissant, MO
- NPI 1194887265
-
- Family Medicine Physician
- Florissant, MO
- NPI 1083811921
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
- Florissant Chiropractic Center Inc
- Florissant Dental Care-Ronald K Greif, DDS-Samir Ruvinov, DDS, LLC (Florissant Dental Care)
- Florissant Healthcare, LLC
- Florissant Injury and Pain Relief
- Florissant Medical Investors LLC (HealthBridge St. Louis)
- Florissant Pediatrics Inc
- Florissant Psychological Services, Inc.
- Florissant Retirement Investors, LLC
- Florissant Skilled Nursing, LLC (Lakeview Post Acute)
- Florissant Valley Fire Pro Dist
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.