RE ACTIVE TRAINING & REHAB LLC
NPI 1023788767
Clinic/Center - Physical Therapy in Saint Charles, MO

Active since September 15, 2021
1401 GETTYSBURG LNDG, SAINT CHARLES, MO 63303(636) 443-9910(636) 200-3601 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2021, Sep 15, 2021 (2 updates tracked since 2021).

About Re Active Training & Rehab Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RE ACTIVE TRAINING & REHAB LLC (NPI 1023788767) is a healthcare organization registered as a physical therapy in Saint Charles, Missouri and active in the NPI registry since September 2021. The organization lists Kelly Lynn Bray, Administrator, as its authorized official.

NPPES Registry Identity

NPI1023788767
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameRE ACTIVE TRAINING & REHAB LLC
Location Address1401 GETTYSBURG LNDGSaint Charles, MO 63303-6104
Mailing Address1401 Gettysburg LndgSaint Charles, MO 63303-6178 · (636) 443-9910
Fax(636) 200-3601
Organization SubpartNo
Authorized OfficialKelly Lynn BrayAdministrator · (636) 443-9910
Enumeration DateSeptember 15, 2021
Last NPPES UpdateJune 12, 20262 updates tracked since enumeration
NPPES CertifiedJune 12, 2026
✔ NPI 1023788767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
1401 GETTYSBURG LNDG, Saint Charles, MO 63303

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Re Active Training & Rehab Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Re Active Training & Rehab LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1639326887
1401 GETTYSBURG LNDG
Saint Charles, MO 63303
(636) 443-9910
✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Re Active Training & Rehab LLC's NPI number?

The NPI number for Re Active Training & Rehab LLC is 1023788767. It was assigned to this organization in the NPPES registry on September 15, 2021.

Where is Re Active Training & Rehab LLC located?

Re Active Training & Rehab LLC is located at 1401 Gettysburg Lndg, Saint Charles, MO 63303. The listed phone number is (636) 443-9910.

What is Re Active Training & Rehab LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Re Active Training & Rehab LLC enrolled in Medicare?

Yes. Re Active Training & Rehab LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Re Active Training & Rehab LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Re Active Training & Rehab LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Re Active Training & Rehab LLC was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.