PROFESSIONAL ATHLETIC REHABILITATION, LLC (NPI# 1184900516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184900516 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL ATHLETIC REHABILITATION, LLC |
| Practice Address |
1 University Blvd 225 Mark Twain Building Saint Louis MO 63121-4400 |
| Practice Telephone | 3145981663 |
| Practice Fax Number | 3145165503 |
| Mailing Telephone | 3145981663 |
| Mailing Fax Number | 3145165503 |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2011-10-31 |
| Authorized Official Name | MR. MICHAEL PATRICK BERRY (DIRECTOR OF SPORTS MEDICINE) |
| Authorized Official Telephone | 3145981663 |
| Authorized Official Credential | LAT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1 UNIVERSITY BLVD 225 MARK TWAIN BUILDING |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63121-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344840 | Raymond I Myers | Optometrist | 1 University Blvd, Saint Louis, MO 63121-4400 | 2005-05-27 |
| 1245856665 | Tosha Pearson | Counselor | 1 University Blvd, Saint Louis, MO 63121-4400 | 2020-06-22 |
| 1295136893 | Angelo Bongiorno | Specialist/Technologist | 1 University Blvd, Saint Louis, MO 63121-4400 | 2014-09-15 |
| 1407271950 | Breah France-hughbanks | Psychologist | 1 University Blvd, 232 Stadler Hall, Saint Louis, MO 63121-4400 | 2014-02-20 |
| 1083045249 | Stacy Golman | Psychologist | 1 University Blvd, University of Missouri - St. Louis, Saint Louis, MO 63121-4400 | 2013-12-12 |
| 1215367834 | Jason Murphy | Psychologist | 1 University Blvd, University of Missouri - Saint Louis, Saint Louis, MO 63121-4400 | 2013-11-18 |
| 1083044879 | Sarah Jackson | Nurse Practitioner | 1 University Blvd, 131 Millenium Student Center, Saint Louis, MO 63121-4400 | 2013-11-15 |
| 1881948545 | Victor Villarreal | Psychologist | 1 University Blvd, 232 Stadler Hall, Saint Louis, MO 63121-4400 | 2012-11-02 |
| 1639446685 | Joshua Warren Vinocour | Psychologist | 1 University Blvd, University of Missouri - Saint Louis, Saint Louis, MO 63121-4400 | 2011-11-18 |
| 1649568148 | Shelley E Watkins-parker | Counselor | 1 University Blvd, 232 Stadler Hall, Saint Louis, MO 63121-4400 | 2011-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511692 | Heal 4 Rtg Home Health Care Cds, LLC | Home Health | 7129 Woodrow Ave, St Louis, MO 63121 | 2020-09-01 |
| 1689215725 | Bessia Mae Walker | Technician | 8909 Weldon Avenue, Apt 115, St. Louis, MO 63121 | 2019-09-30 |
| 1790263218 | Relda Denise Owens-mathews | Social Worker | 7855 Natural Bridge Rd, Saint Louis, MO 63121 | 2018-08-06 |
| 1215421334 | Speak Wonders, LLC | Speech-Language Pathologist | 7432 Marillac Dr, Saint Louis, MO 63121 | 2018-06-21 |
| 1306370937 | Another Helping Hand Home Healthcare, LLC | Home Health | 23 North Oaks Plaza Suite 228, Saint Louis, MO 63121 | 2017-04-20 |
| 1295105054 | Youthful You Adult Daycare LLC | Clinic/Center | 6363 Natural Bridge, Pinelawn, MO 63121 | 2015-10-05 |
| 1982029880 | Deborah Marie Jeffery | Nurse Practitioner | 7626 Natural Bridge Road, St Louis, MO 63121 | 2014-02-28 |
| 1356626832 | Ala Allozi | Pharmacist | 7199 Natural Bridge Dr, Saint Louis, MO 63121 | 2011-10-17 |
| 1659541274 | Express Home Care | Counselor | 3641 Oakdale Ave, Saint Louis, MO 63121 | 2008-03-11 |
| 1053525048 | Angel's Care Inc | Homemaker | 23 N. Oaks Plaza, Suite 245, St. Louis, MO 63121 | 2007-05-09 |
| Find all providers in zip 63121 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265039192 | Carley M Swabby | Specialist/Technologist | 652 Bismark Ave, Saint Louis, MO 63119-1528 | 2020-10-05 |
| 1194383943 | Elizabeth Lynch | Specialist/Technologist | 605 Clara Ave Apt 609, Saint Louis, MO 63112-1936 | 2019-06-05 |
| 1063970242 | Abby Hoffman | Specialist/Technologist | 7318 Brunswick Ave, Saint Louis, MO 63119-3329 | 2019-03-07 |
| 1649738824 | Emma C Yonkers | Specialist/Technologist | 4050 W Pine Blvd Apt 3207, Saint Louis, MO 63108-3349 | 2019-03-07 |
| 1386102556 | Justin Durham | Specialist/Technologist | 8425 Engler Ave, Saint Louis, MO 63114-4126 | 2019-03-06 |
| 1538626007 | Justin Ullom | Specialist/Technologist | 1111 Victor St, Saint Louis, MO 63104-4323 | 2019-02-21 |
| 1003373564 | Brian Tyler Leach | Specialist/Technologist | 6120 Wanda Ave, Saint Louis, MO 63116-2225 | 2019-02-20 |
| 1003372566 | Jesse Schmitt | Specialist/Technologist | 3939 W Pine Blvd, Saint Louis, MO 63108-3220 | 2019-02-20 |
| 1326504846 | Breanna Kenney | Specialist/Technologist | 1024 Colebrook Dr, Saint Louis, MO 63119-4757 | 2019-02-20 |
| 1083170518 | Paul Samuel Lamb | Specialist/Technologist | 3805 Lindell Blvd Apt A, Saint Louis, MO 63108-3451 | 2019-02-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63121 |
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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.