PHYSICAL THERAPY & REHABILITATION SERVICES, LLC (NPI# 1366869703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366869703 |
| Entity Type | Organization |
| Organization Name | PHYSICAL THERAPY & REHABILITATION SERVICES, LLC |
| Practice Address |
4072 Lockport Drive None Bridgeton MO 63044 |
| Practice Telephone | 3146298107 |
| Mailing Telephone | 3146298107 |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |
| Authorized Official Name | MERLINDA T EULALIA (PRESIDENT) |
| Authorized Official Telephone | 3146298107 |
| Authorized Official Credential | RPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
R1038 | MO | Ambulatory Health Care Facilities |
| Street Address |
4072 LOCKPORT DRIVE NONE |
| City | BRIDGETON |
| State | MO |
| Zip Code | 63044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
| 1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
| 1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
| 1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
| 1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
| 1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
| 1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
| Find all providers in zip 63044 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386863785 | Administrative Support Services, Inc | Clinic/Center | 7605 Natural Bridge Rd, Suite 101, Saint Louis, MO 63121-4904 | 2007-04-24 |
| 1598746836 | Ability Kc | Clinic/Center | 3011 Baltimore Ave, Kansas City, MO 64108-3403 | 2005-11-11 |
| 1700054962 | St. Louis Senior Rehabilitation | Clinic/Center | 7618 Oak Crest Ct, Barnhart, MO 63012-1871 | 2008-02-11 |
| 1962621458 | Administrative Support Services, Inc | Clinic/Center | 5535 Delmar Blvd, Suite W-219, Saint Louis, MO 63112-3005 | 2007-04-24 |
| 1588704654 | Physical Therapy of Ferguson-florissant LLC | Clinic/Center | 10859 W Florissant Ave, Ferguson, MO 63136-2405 | 2007-02-07 |
| 1841244795 | Alphapointe | Clinic/Center | 7501 Prospect Ave, Kansas City, MO 64132-2103 | 2006-05-22 |
Please comment or provide details below to improve the information on PHYSICAL THERAPY & REHABILITATION SERVICES, LLC.
| 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.