PROREHAB, PC


Address: 1837 Homer M Adams Pkwy, Suite M, Alton, IL 62002-5665
Phone: 6182083310

PROREHAB, PC (NPI# 1942584214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942584214
Entity Type Organization
Organization Name PROREHAB, PC
Other Organization Name ATHLETICO PHYSICAL THERAPY
Practice Address 1837 Homer M Adams Pkwy
Suite M
Alton
IL 62002-5665
Mailing Address 600 Oakmont Ln Ste 600c
Westmont
IL 60559-5548
Practice Telephone 6182083310
Practice Fax Number 6182083315
Mailing Telephone 6305751980
Mailing Fax Number 6309285080
Enumeration Date 2011-10-05
Last Update Date 2018-11-23
Authorized Official Name JUANA GRANADOS (CREDENTIALING MANAGER)
Authorized Official Telephone 6305751980
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
ATHLETICO PHYSICAL THERAPY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1871992008 Prorehab, PC Physical Therapist 1050 Admiral Weinel Blvd, Columbia, IL 62236-1988 2014-08-13
1922414028 Prorehab, PC Clinic/Center 8023 W Florissant Ave Ste A, Jennings, MO 63136-1448 2014-07-09
1437575644 Prorehab, PC Clinic/Center 1140 Collinsville Crossing Blvd, Collinsville, IL 62234-1880 2014-03-12
1922328897 Prorehab, PC Occupational Therapist 1832 Wentzville Parkway, Wentzville, MO 63385 2010-06-02
1689908725 Prorehab, PC Occupational Therapist 20 Gravois Sta, House Springs, MO 63051-4348 2009-09-22
1861594160 Prorehab, PC Clinic/Center 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 2006-09-05
1194771923 Prorehab, PC Clinic/Center 8622 Olive Blvd, Olivette, MO 63132-2504 2006-05-25
1740236512 Prorehab, PC Clinic/Center 5300 N Illinois St, Suite 101, Fairview Heights, IL 62208-3500 2006-05-25
1376598839 Prorehab, PC Clinic/Center 3101 Recreation Dr, Suite 130, Washington, MO 63090-6107 2006-05-23
1821041922 Prorehab, PC Clinic/Center 790 N Highway 67, Florissant, MO 63031-5108 2006-05-18

Office Location

Street Address 1837 HOMER M ADAMS PKWY
SUITE M
City ALTON
State IL
Zip Code 62002-5665

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285272807 Jersey Community Hospital Obstetrics & Gynecology #2 Memorial Drive, Suite 203, Alton, IL 62002 2019-12-13
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1841848322 Destiny L Miller Technician 3429 Meridocia St, Alton, IL 62002 2019-08-28
1942854633 Jessica Leigh Jump Speech-Language Pathologist 453 Bluff Street, Alton, IL 62002 2019-07-30
1194380741 Vasiliki Kytridou Dentist 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 2019-05-08
1982125910 Amy Nicole Spalding Social Worker 1123 Harrison St, Alton, IL 62002 2017-06-29
1962856310 Patricia Gregory Social Worker 5090 Humbert Rd, Alton, IL 62002 2016-04-21
1447612510 Alanna Lynn Mcnelly Chiropractor 219 Piasa St, Suite 200, Alton, IL 62002 2016-03-28
1174983050 Roberta's Lovely Ladies Boutique Mastectomy Fitter 603 W. Delmar, Alton, IL 62002 2016-03-04
1184081556 Darcy Graham Nurse Practitioner 4 Memorial Dr # 210, Alton, IL 62002 2016-01-15
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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093858276 Fairview Heights Medical Group Sc Clinic/Center 1 Memorial Dr, Suite G204, Alton, IL 62002-6722 2007-02-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831790336 Priority You Physical Therapy and Wellness, Pllc Clinic/Center 20660 Caton Farm Rd., Unit A, Crest Hills, IL 60403 2020-11-03
1487253464 Chimera Health Pllc Clinic/Center 525 N Ada St Apt 10, Chicago, IL 60642-6486 2020-10-21
1528666468 Chicago Pelvic Health and Wellness, LLC Clinic/Center 1020 E Ogden Ave Ste 309, Naperville, IL 60563-8611 2020-10-13
1548876063 Midwest Orthopaedics At Rush, LLC Clinic/Center 1000 Commerce Court, Suite 101, Bensenville, IL 60106 2020-09-21
1518573963 Better Play Performance & Rehab Pllc Clinic/Center 1201 Waters Edge Rd, Champaign, IL 61822-8101 2020-09-21
1548876329 Midwest Orthopaedics At Rush, LLC Clinic/Center 17130 Prime Blvd Ste 101, Lockport, IL 60441-1311 2020-09-17
1124631676 Leena Bird Physical Therapy Pllc Clinic/Center 400 Prairie Knoll Dr, Naperville, IL 60565-4154 2020-08-25
1831702232 Pararmount Physical Therapy LLC Clinic/Center 2960 Artesian Rd Ste 152, Naperville, IL 60564-4876 2020-08-25
1487263851 Priority You Physical Therapy and Wellness Pllc Clinic/Center 2101 Alpine Way, Plainfield, IL 60586-5079 2020-07-30
1093324345 Motogenix Concierge Physical Therapy Clinic/Center 111 S Morgan St Apt 620, Chicago, IL 60607-2732 2020-07-23
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Competitor

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City ALTON
Zip Code 62002

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Dataset Information

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.

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