NPIMap

Organization Active NPI

Prorehab, PC

Doing business as Athletico Physical Therapy

  • Physical Therapy Clinic/Center
  • Edwardsville, IL
National Provider Identifier
1851476378
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PROREHAB, PC
Doing business as
Athletico Physical Therapy
Practice address
1047 Century Dr
Edwardsville, IL 62025-3772
Phone
(618) 307-3434
Fax
(618) 307-3435
NPI assigned
Oct 25, 2006
Last updated
Jul 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Authorized official

Name
Geri Cook
Title
Director of Clinical Services
Phone
(630) 575-1940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X IL Primary

Addresses

Primary practice location

1047 Century Dr
Edwardsville, IL 62025-3772

Mailing address

625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-6200

Other names 1

  • ATHLETICO PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5900 N Illinois St
Ste 9
Fairview Heights, IL 62208
Phone (314) 621-1416

14825 North Outer 40 Rd
Ste 300
Chesterfield, MO 63017
Phone (636) 581-2121

17363 Edison Ave
Chesterfield, MO 63005
Phone (314) 200-5032

301 S Maple St
Eldon, MO 65026
Phone (573) 375-5944

833 Weber Rd
Farmington, MO 63640
Phone (573) 756-9900

596 Old Smizer Mill Rd
Fenton, MO 63026
Phone (636) 349-8060

3218 W Edgewood Dr
Jefferson City, MO 65109
Phone (573) 634-3815

2315 Dougherty Ferry Rd
Ste 209
Saint Louis, MO 63122
Phone (314) 238-1130

3734 S Kingshighway Blvd
Saint Louis, MO 63109
Phone (314) 351-7172

4600 Chippewa St
Ste F
Saint Louis, MO 63116
Phone (314) 351-7172

8005 West Florissant Ave
Ste L
Saint Louis, MO 63136
Phone (314) 833-1000

8228 Brentwood Industrial Dr
Saint Louis, MO 63144
Phone (314) 781-0679

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1851476378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 CENTURY DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253772",
            "telephone_number": "618-307-3434",
            "fax_number": "618-307-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROREHAB, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "GERI",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "630-575-1940"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATHLETICO PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edwardsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.