Prorehab PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROREHAB PC

Doing business as

Athletico Physical Therapy

Practice address

14825 N Outer 40 Rd
Suite 300
Chesterfield, MO 63017-2152

Phone

(636) 812-1211

Fax

(636) 812-0159

NPI assigned

May 18, 2006

Last updated

Jun 10, 2016By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• ATHLETICO PHYSICAL THERAPY Doing business as

Member of 1

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

• Athletico, LTD

  dba AthletiCo Sports Medicine and Physical Therapy

  • Physical Therapist
  • Naperville, IL
  • NPI 1134361298

  Member Of

  NPD member

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1922051507",
    "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": "630-575-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14825 N OUTER 40 RD",
            "address_2": "SUITE 300",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172152",
            "telephone_number": "636-812-1211",
            "fax_number": "636-812-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROREHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-06-10",
        "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": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATHLETICO PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Primedstl, LLC
• Maya Marie Prince, DPT
• Julie Ann Probus-Schad, LCSW
• Jayma Layne Proctor, AU.D.
• Robert James Profumo, MD
• Prorehab, PC (Athletico Physical Therapy)
• Nicolette Prosser, FNP
• Provide Dental (Provide Dental- Chesterfield)
• Provide Dental (Provide Dental- Chesterfield)
• Gregory A Pucel, D D S

• Physical Therapist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.