PROREHAB PC
NPI 1114538097
Clinic/Center - Multi-Specialty in Saint Louis, MO

Active since August 13, 2020
3156 TELEGRAPH RD, SAINT LOUIS, MO 63125(314) 894-8616(314) 894-8633 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prorehab Pc NPPES

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

PROREHAB PC (NPI 1114538097), doing business as Athletico Physical Therapy, is a healthcare organization registered as a multi-specialty in Saint Louis, Missouri and active in the NPI registry since August 2020. The organization lists Juana Granados, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1114538097
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePROREHAB PC
Location Address3156 TELEGRAPH RDSaint Louis, MO 63125-5500
Mailing Address600 Oakmont Ln Ste 600cWestmont, IL 60559-5548 · (630) 575-6200
Fax(314) 894-8633
Organization SubpartYes
Authorized OfficialJuana GranadosCredentialing Manager · (630) 575-1980
Enumeration DateAugust 13, 2020
NPPES CertifiedAugust 13, 2020
NPI 1114538097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
3156 TELEGRAPH RD, Saint Louis, MO 63125

Other Names 1

Doing Business AsAthletico Physical Therapy

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Physical Therapist
3156 TELEGRAPH RD
SAINT LOUIS, MO 63125

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 Prorehab PC's NPI number?

The NPI number for Prorehab PC is 1114538097. It was assigned to this organization in the NPPES registry on August 13, 2020. The provider is doing business as Athletico Physical Therapy.

Where is Prorehab PC located?

Prorehab PC is located at 3156 Telegraph Rd, Saint Louis, MO 63125. The listed phone number is (314) 894-8616.

What is Prorehab PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Prorehab PC was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.