1. Home
  2. Directory
  3. Missouri
  4. O Fallon
  5. Clinic Center
  6. NPI Profile

SSM SELECT REHAB ST. LOUIS, LLC
NPI 1033718069
Clinic/Center - Rehabilitation in O Fallon, MO

Active since October 21, 2020CLIA 26D2322663 · Waiver
3404 E TERRA LN, O FALLON, MO 63366(636) 970-0336(636) 970-0337 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ssm Select Rehab St. Louis, Llc NPPES

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

SSM SELECT REHAB ST. LOUIS, LLC (NPI 1033718069) is a healthcare organization registered as a rehabilitation in O Fallon, Missouri and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through April 23, 2027 and lists Michael Tarvin, Vice President, as its authorized official.

NPPES Registry Identity

NPI1033718069
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameSSM SELECT REHAB ST. LOUIS, LLC
Location Address3404 E TERRA LNO Fallon, MO 63366-4554
Mailing Address4714 Gettysburg RdMechanicsburg, PA 17055-4325 · (717) 972-1100
Phone(636) 970-0336
Fax(636) 970-0337
Organization SubpartNo
Authorized OfficialMichael TarvinVice President · (717) 972-1100
Enumeration DateOctober 21, 2020
NPPES CertifiedOctober 21, 2020
✔ NPI 1033718069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
3404 E TERRA LN, O Fallon, MO 63366
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2322663

Ssm Select Rehab St Louis, LLC · O Fallon, MO
Active · expires Apr 23, 2027
CLIA Number26D2322663
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorCharles Gonzalez
Laboratory Phone(636) 339-3350
Laboratory LocationSsm Select Rehab St Louis, LLC700 South Woodlawn Ave, O Fallon, MO 63366
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER JO FREELING MPT
Physical Therapist
3404 E TERRA LN
O FALLON, MO 63366
St. Charles County (636) 970-0336

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 Ssm Select Rehab St. Louis, LLC's NPI number?

The NPI number for Ssm Select Rehab St. Louis, LLC is 1033718069. It was assigned to this organization in the NPPES registry on October 21, 2020.

Where is Ssm Select Rehab St. Louis, LLC located?

Ssm Select Rehab St. Louis, LLC is located at 3404 E Terra Ln, O Fallon, MO 63366. The listed phone number is (636) 970-0336.

What is Ssm Select Rehab St. Louis, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Does Ssm Select Rehab St. Louis, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2322663) is associated with this NPI, valid through April 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ssm Select Rehab St. Louis, LLC was last updated on October 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.