Provider Type Icon

PROREHAB PC NPI 1114538097


NPI Information

NPI: 1114538097
Provider Name: PROREHAB PC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
3156 TELEGRAPH RD
SAINT LOUIS, MO
ZIP 63125
Phone: (314) 894-8616
Get Directions

PROREHAB PC is a multi-specialty clinic center in Saint Louis, MO. PROREHAB PC NPI is 1114538097. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3156 TELEGRAPH RD
SAINT LOUIS, MO
ZIP 63125-500
Phone: (314) 894-8616
Fax: (314) 894-8633

The provider's authorized official is Juana Granados .
The authorized official title is Credentialing Manager and has the following contact phone number (630) 575-1980.

The enumeration date for this NPI number is 8/13/2020 and was last updated on 8/13/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical TherapistNo
2225X00000XOccupational TherapistNo
3261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.