Active NPI
Rehab Missouri LLC
- Rehabilitation Clinic/Center
- Belleville, IL
National Provider Identifier
1972850550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- REHAB MISSOURI LLC
- Practice address
- 2900 Frank Scott Pkwy W
Suite 984
Belleville, IL 62223-5000 - Phone
- (618) 257-0196
- Fax
- (618) 257-0217
- NPI assigned
- Aug 14, 2012
- 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
- Jayne F. Pool
- Title
- Chief Compliance Officer
- Phone
- (469) 467-8706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
2900 Frank Scott Pkwy W
Suite 984
Belleville, IL 62223-5000
Mailing address
2300 Coit Rd
Suite 300
Plano, TX 75075-3768
Phone (469) 467-8705
Other names 1
- Rehab Xcel
National Provider Directory
National Provider DirectoryLocations
2900 Frank Scott Pkwy W
Ste 984
Belleville, IL 62223
Phone (618) 235-3531
18 Plaza Dr
Fairview Heights, IL 62208
Phone (618) 394-1185
525 Lincoln Hwy
Ste 13
Fairview Heights, IL 62208
Phone (618) 622-5180
24B Professional Park Dr
Maryville, IL 62062
Phone (618) 248-2040
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Fairview Heights, IL
- NPI 1962416917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344902400000",
"number": "1972850550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 COIT RD",
"address_2": "SUITE 300",
"city": "PLANO",
"state": "TX",
"postal_code": "750753768",
"telephone_number": "469-467-8705",
"fax_number": "267-321-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 FRANK SCOTT PKWY W",
"address_2": "SUITE 984",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622235000",
"telephone_number": "618-257-0196",
"fax_number": "618-257-0217"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB MISSOURI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-14",
"last_updated": "2012-08-14",
"status": "A",
"authorized_official_last_name": "POOL",
"authorized_official_first_name": "JAYNE",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
"authorized_official_telephone_number": "469-467-8706"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rehab Xcel",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.