SSM SELECT REHAB ST. LOUIS, LLC (NPI# 1356891600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356891600 |
| Entity Type | Organization |
| Organization Name | SSM SELECT REHAB ST. LOUIS, LLC |
| Practice Address |
1 Town and Country Market Pl Warrenton MO 63383-1372 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 6366952070 |
| Practice Fax Number | 6366952080 |
| Mailing Telephone | 7179721100 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2018-11-23 |
| Authorized Official Name | MICHAEL TARVIN (VICE PRESIDENT & SECRETARY) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | Y |
| Parent Organization Name | SELECT MEDICAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
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 |
| 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 |
1 TOWN AND COUNTRY MARKET PL |
| City | WARRENTON |
| State | MO |
| Zip Code | 63383-1372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364293 | Jasmine Renee Ewell | Speech-Language Pathologist | 1 Town and Country Market Pl, Warrenton, MO 63383-1372 | 2020-07-28 |
| 1013550227 | Keven Wigley | Occupational Therapist | 1 Town and Country Market Pl, Warrenton, MO 63383-1372 | 2019-10-21 |
| 1982250270 | Jordyn Ehlmann | Occupational Therapy Assistant | 1 Town and Country Market Pl, Warrenton, MO 63383-1372 | 2019-08-13 |
| 1124682737 | Amanda Ames | Occupational Therapist | 1 Town and Country Market Pl, Warrenton, MO 63383-1372 | 2019-04-29 |
| 1689153900 | Michael Vincenzo Hauge | Speech-Language Pathologist | 1 Town and Country Market Pl, Warrenton, MO 63383-1372 | 2018-08-08 |
| 1568966588 | Joseph D O'brien | Physical Therapy Assistant | 1 Town and Country Market Pl, Warrenton, MO 63383-1372 | 2018-03-23 |
| 1619471877 | Michelle Brooks | Physical Therapy Assistant | 1 Town and Country Market Pl, Warrenton, MO 63383-1372 | 2018-03-22 |
| 1689178022 | Kara Lippmann | Occupational Therapy Assistant | 1 Town and Country Market Pl, Warrenton, MO 63383-1372 | 2018-03-21 |
| 1649773656 | Deanna Aslin | Occupational Therapy Assistant | 1 Town and Country Market Pl, Warrenton, MO 63383-1372 | 2018-03-15 |
| 1366957722 | Audrey Elizabeth Fiudo | Occupational Therapist | 1 Town and Country Market Pl, Warrenton, MO 63383-1372 | 2017-12-07 |
| Find all providers in the same location | ||||
| 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 | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851654230 | Kel Inc. | Clinic/Center | 6379 Airlie Rd, Warrenton, VA 20187-4154 | 2012-06-20 |
| 1629576772 | Amy Lynne Morris | Clinic/Center | 430 E Shirley Ave, Warrenton, VA 20186-3725 | 2018-01-24 |
| 1811213374 | Innovative Physical Therapy LLC | Clinic/Center | 381 Stuyvesant St, Suite 4, Warrenton, VA 20186-2400 | 2010-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417563479 | Lydia Kay Blondin | Clinic/Center | 24158 Tanglewood Rd, Saint Robert, MO 65584-3815 | 2020-09-16 |
| 1275146474 | Beyond Recovery Physical Therapy, LLC | Clinic/Center | 2627 E Horning St, Springfield, MO 65802-2372 | 2020-08-26 |
| 1144839887 | Atr Justin LLC | Clinic/Center | 15882 Clayton Rd, Ellisville, MO 63011-2212 | 2020-07-29 |
| 1043836588 | Martin Ventures LLC | Clinic/Center | 3119 S Scenic Ave Ste B, Springfield, MO 65807-3965 | 2020-06-21 |
| 1659996585 | Suellen Caroline Cruz Johnson | Clinic/Center | 1120 E 77th Ter, Kansas City, MO 64131-1939 | 2020-06-16 |
| 1790252948 | Mercy Hospital Springfield | Clinic/Center | 448 Hwy 248 Ste 130, Branson, MO 65616-3725 | 2018-10-25 |
| 1477059517 | Occupational Health Centers of Kansas Pa | Clinic/Center | 19000 E Eastland Center Ct Ste 200, Independence, MO 64055-7023 | 2018-04-05 |
| 1326541475 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 1 Pratt Pl, Florissant, MO 63031-6557 | 2018-03-15 |
| 1053820175 | Prorehab PC | Clinic/Center | 11525 Olde Cabin Rd Ste 1, Saint Louis, MO 63141-7146 | 2017-09-20 |
| 1629590955 | Judice Consulting LLC | Clinic/Center | 700 Shallowcreek Vw, Ballwin, MO 63021-6618 | 2017-07-07 |
| 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.