PROREHAB PC NPI 1922414028

NPI Information

NPI: 1922414028
Provider Name: PROREHAB, PC

Doing Business As: ATHLETICO PHYSICAL THERAPY

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
8023 W FLORISSANT AVE STE A
JENNINGS, MO
ZIP 63136
Phone: (314) 833-1000
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PROREHAB, PC is a rehabilitation clinic center in Jennings, MO. PROREHAB, PC NPI is 1922414028. The provider is registered as an organization entity type.
The provider Is Doing Business As Athletico Physical Therapy.

The provider's business location address is:

8023 W FLORISSANT AVE STE A
JENNINGS, MO
ZIP 63136-448
Phone: (314) 833-1000
Fax: (314) 833-1001

The provider's authorized official is Geri Cook .
The authorized official title is Director Of Clinical Services and has the following contact phone number (630) 575-1940.

The enumeration date for this NPI number is 7/9/2014 and was last updated on 1/17/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation	C1618	MISSOURI	Yes

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: 5/5/2024

NPI Synchronization or Removal

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