Envision Rehab and Wellness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ENVISION REHAB AND WELLNESS LLC

Practice address

7421 Mexico Rd Ste 102
Saint Peters, MO 63376-1369

Phone

(636) 757-6543

Fax

(636) 639-4337

NPI assigned

Aug 31, 2020

Organization subpart

No

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

Authorized official

Name

Kelly Fiala, MOTR/L

Title

Director of Integrated Health Servi

Phone

(636) 695-4330

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Colleen Bock, PTA

  • Physical Therapy Assistant
  • Saint Peters, MO
  • NPI 1023607405
  NPD
• Deanna Skaggs, COTA

  • Occupational Therapy Assistant
  • Saint Peters, MO
  • NPI 1043899727
  NPD

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1962016774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 MEXICO RD STE 102",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761369",
            "telephone_number": "636-757-6543",
            "fax_number": "636-639-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 MEXICO RD STE 102",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761369",
            "telephone_number": "636-757-6543",
            "fax_number": "636-639-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION REHAB AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "FIALA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR OF INTEGRATED HEALTH SERVI",
        "authorized_official_telephone_number": "636-695-4330",
        "authorized_official_credential": "MOTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mary B Ernst, FNP
• Winter Ann Ervin, COTA
• Obiageli Immaculata Esotu, MD

• Physical Therapist in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.