Organization Active NPI

Rehab Missouri LLC

  • Rehabilitation Clinic/Center
  • Belleville, IL
National Provider Identifier
1972850550
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
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

Updated by the provider on Aug 14, 2012

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.