SSM SELECT REHAB ST. LOUIS, LLC (NPI# 1104474006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104474006 |
| Entity Type | Organization |
| Organization Name | SSM SELECT REHAB ST. LOUIS, LLC |
| Practice Address |
508 W Veterans Memorial Pkwy Warrenton MO 63383-1046 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 6362022770 |
| Practice Fax Number | 6362354155 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |
| 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 |
| Other Name | Type Code |
|---|---|
| SSM Health PT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101376 | Ssm Select Rehab St. Louis, LLC | Clinic/Center | 33 Winfield Plz, Winfield, MO 63389-3451 | 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 |
| 1033718069 | Ssm Select Rehab St. Louis, LLC | Clinic/Center | 3404 E Terra Ln, O Fallon, MO 63366-4554 | 2020-10-21 |
| 1750980785 | Ssm Select Rehab St. Louis, LLC | Clinic/Center | 12539 Olive Blvd, Saint Louis, MO 63141-6311 | 2020-10-21 |
| Street Address |
508 W VETERANS MEMORIAL PKWY |
| City | WARRENTON |
| State | MO |
| Zip Code | 63383-1046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568078962 | Gabrielle Anne Herrick | Physical Therapist | 508 W Veterans Memorial Pkwy, Warrenton, MO 63383-1046 | 2020-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215544861 | Amanda Rae Miller | Pharmacist | 701 North Highway 47, Warrenton, MO 63383 | 2020-09-28 |
| 1255837647 | Amanda Jean Hite | Physical Therapy Assistant | 1 Town and Country Marketplace, Warrenton, MO 63383 | 2018-04-04 |
| 1295260818 | Legacy Drugstore 2, LLC | Pharmacy | 609 State Highway 47, Suite B, Warrenton, MO 63383 | 2017-04-21 |
| 1295281517 | Harbor Place Estates, LLC | Assisted Living Facility | 1054 S State Highway 47, Warrenton, MO 63383 | 2016-08-28 |
| 1811350630 | Megan Moore | Physical Therapist | 772 N. Hwy 47, Suite A, Warrenton, MO 63383 | 2016-03-30 |
| 1598125353 | Lauren Schumacher | Physical Therapist | 722 N. Highway 47, Suite A, Warrenton, MO 63383 | 2016-03-07 |
| 1427374230 | Our Urgent Care, LLC | Clinic/Center | 1343 North East Service Rd, Warrenton, MO 63383 | 2010-04-19 |
| 1235397183 | Paul J Dooley Dds PC | Dentist | 708 Steinhagen, Warrenton, MO 63383 | 2008-05-28 |
| 1699975995 | Joshua Douglas Sharp | Chiropractor | 704 North State Hwy 47, Warrenton, MO 63383 | 2007-07-24 |
| 1083827075 | Thomas William Cox | Physical Therapy Assistant | 65 State Hwy. Aa, Warrenton, MO 63383 | 2007-05-07 |
| Find all providers in zip 63383 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043450828 | Ssm Select Rehab St Louis LLC | Clinic/Center | 722 North Highway 47, Warrenton, MO 63383-1108 | 2009-03-06 |
| 1891800553 | North Carolina Rehab, Inc. | Clinic/Center | 133a S Main St, Warrenton, NC 27589-1953 | 2006-08-20 |
| 1013271360 | Medi-ssage Clinic of Northern Virginia | Clinic/Center | 20 S 2nd St, Warrenton, VA 20186-3338 | 2012-07-02 |
| 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 |
| 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 |
| 1144598574 | Health Facilities Rehab Services Inc | Clinic/Center | 323 Business Route 63, Thayer, MO 65791 | 2011-12-13 |
| 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.