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PROREHAB PC NPI 1437675535


NPI Information

NPI: 1437675535
Provider Name: PROREHAB PC

Doing Business As: ATHLETICO PHYSICAL THERAPY

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1915 CARLYLE AVE
STE D
BELLEVILLE, IL
ZIP 62220
Phone: (618) 310-0305
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PROREHAB PC is a clinic center in Belleville, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PROREHAB PC NPI is 1437675535. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Athletico Physical Therapy.

The provider's business location address is:

1915 CARLYLE AVE
STE D
BELLEVILLE, IL
ZIP 62220
Phone: (618) 310-0305

The provider's authorized official is Geri Cook .
The authorized official title is Vp Of Billing Operations and has the following contact phone number (630) 575-1940.

The enumeration date for this NPI number is 8/21/2017 and was last updated on 8/21/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225X00000XOccupational TherapistNo
2225100000XPhysical TherapistNo
3261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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