SSM SELECT REHAB ST. LOUIS, LLC (NPI# 1033718069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033718069 |
| Entity Type | Organization |
| Organization Name | SSM SELECT REHAB ST. LOUIS, LLC |
| Practice Address |
3404 E Terra Ln O Fallon MO 63366-4554 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 6369700336 |
| Practice Fax Number | 6369700337 |
| Mailing Telephone | 7179721100 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | MICHAEL TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101376 | Ssm Select Rehab St. Louis, LLC | Clinic/Center | 33 Winfield Plz, Winfield, MO 63389-3451 | 2019-09-04 |
| 1104474006 | Ssm Select Rehab St. Louis, LLC | Clinic/Center | 508 W Veterans Memorial Pkwy, Warrenton, MO 63383-1046 | 2019-09-04 |
| 1356891600 | Ssm Select Rehab St. Louis, LLC | Clinic/Center | 1 Town and Country Market Pl, Warrenton, MO 63383-1372 | 2016-10-11 |
| 1750980785 | Ssm Select Rehab St. Louis, LLC | Clinic/Center | 12539 Olive Blvd, Saint Louis, MO 63141-6311 | 2020-10-21 |
| Street Address |
3404 E TERRA LN |
| City | O FALLON |
| State | MO |
| Zip Code | 63366-4554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003960527 | Jennifer Jo Freeling | Physical Therapist | 3404 E Terra Ln, O Fallon, MO 63366-4554 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407314826 | Transformative Health 180 LLC | Physical Therapist | 821 West Terra Lane, O Fallon, MO 63366 | 2019-03-05 |
| 1740754126 | Donna Marie Person | Nurse Practitioner | 331 Magnolia Valley Dr., Ofallon, MO 63366 | 2019-01-18 |
| 1679069470 | Samantha Schulte | Clinical Pharmacology | 7 Poor Richard Ct, O Fallon, MO 63366 | 2018-07-03 |
| 1790218048 | Jill Buery | Marriage & Family Therapist | 801 S Woodlawn Ave, Ste 15, O'fallon, MO 63366 | 2017-04-04 |
| 1114466968 | Jessica Anne Morris | Counselor | 103 Lincoln Street, O'fallon, MO 63366 | 2017-02-13 |
| 1639528540 | Kyle James Neuschaefer | Dentist | 31 Ofallon Sq, O Fallon, MO 63366 | 2016-06-10 |
| 1295116143 | Katherine Seiler Harkess | Obstetrics & Gynecology | 300 Winding Woods Drive Suite 200, O'fallon, MO 63366 | 2015-06-16 |
| 1528453354 | Amanda Flamm | Nurse Practitioner | 1101 Hightway K, Ofallon, MO 63366 | 2015-03-30 |
| 1144639972 | Sara Birkemeier | Physical Therapist | 1541 Norwood Hills Dr, Ofallon, MO 63366 | 2014-08-06 |
| 1710390893 | Catherine Rose Most | Speech-Language Pathologist | 555 E. Terra Lane, Fort Zumwalt School District, O'fallon, MO 63366 | 2014-06-06 |
| Find all providers in zip 63366 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326578626 | Elite Physical Therapy of Ofallon, LLC | Clinic/Center | 3074 Winghaven Blvd, O Fallon, MO 63368 | 2017-06-19 |
| 1447520168 | Appletree Therapy Services, LLC | Clinic/Center | 634 N Main St, Suite 5, O Fallon, IL 62269-3746 | 2012-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265073845 | Arnold Physical Therapy & Sports Medicine LLC | Clinic/Center | 9594 Manchester Rd, Saint Louis, MO 63119-1313 | 2019-10-04 |
| 1790326916 | Arnold Physical Therapy & Sports Medicine LLC | Clinic/Center | 11725 Manchester Rd, Des Peres, MO 63131-4616 | 2019-09-30 |
| 1477101376 | Ssm Select Rehab St. Louis, LLC | Clinic/Center | 33 Winfield Plz, Winfield, MO 63389-3451 | 2019-09-04 |
| 1104474006 | Ssm Select Rehab St. Louis, LLC | Clinic/Center | 508 W Veterans Memorial Pkwy, Warrenton, MO 63383-1046 | 2019-09-04 |
| 1497310932 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 201 Highway 34 West, Marble Hill, MO 63764 | 2019-05-09 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1548715402 | Specialty Rehab & Wellness | Clinic/Center | 3309 Crystal Lake Dr, Festus, Festus, MO 63028-4274 | 2016-08-22 |
| 1679947774 | Elite Physical Therapy of Creve Coeur LLC | Clinic/Center | 12788 Olive Blvd, Creve Coeur, MO 63141-6211 | 2015-11-30 |
| 1922414028 | Prorehab, PC | Clinic/Center | 8023 W Florissant Ave Ste A, Jennings, MO 63136-1448 | 2014-07-09 |
| 1831442540 | Invigorate Rehab Inc | Clinic/Center | 1722 Olive St Ste 201, Saint Louis, MO 63103-1700 | 2012-10-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.