Provider Type Icon

TRIUMPH REHAB AND WELLNESS LLC NPI 1578980124


NPI Information

NPI: 1578980124
Provider Name: TRIUMPH REHAB AND WELLNESS, LLC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
8124 KNIGHTS CROSSING CT
O FALLON, MO
ZIP 63368
Phone: (636) 346-2219
Get Directions

TRIUMPH REHAB AND WELLNESS, LLC is a rehabilitation clinic center in O Fallon, MO. TRIUMPH REHAB AND WELLNESS, LLC NPI is 1578980124. The provider is registered as an organization entity type.

The provider's business location address is:

8124 KNIGHTS CROSSING CT
O FALLON, MO
ZIP 63368-225
Phone: (636) 346-2219
Fax: (314) 266-3927

The provider's authorized official is Corey Bolen .
The authorized official title is Owner/president and has the following contact phone number (636) 346-2219.

The enumeration date for this NPI number is 3/20/2014 and was last updated on 8/28/2023.


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
1261QR0400XClinic/CenterRehabilitationYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.