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CRESCENT PHYSICAL REHABILITATION, LLC
NPI 1154595122
Clinic/Center - Rehabilitation in Ellisville, MO

Active since April 21, 2008
1519 VIRGINIA DR, ELLISVILLE, MO 63011(314) 616-1276 Get Directions Write a Review

NPPES record last updated: April 21, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Crescent Physical Rehabilitation, Llc NPPES

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

CRESCENT PHYSICAL REHABILITATION, LLC (NPI 1154595122) is a healthcare organization registered as a rehabilitation in Ellisville, Missouri and active in the NPI registry since April 2008. The organization lists Sikander M Bajwa, President, as its authorized official.

NPPES Registry Identity

NPI1154595122
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameCRESCENT PHYSICAL REHABILITATION, LLC
Location Address1519 VIRGINIA DREllisville, MO 63011-2046
Mailing Address1519 Virginia DrEllisville, MO 63011-2046 · (314) 616-1276
Phone(314) 616-1276
Organization SubpartNo
Authorized OfficialSikander M BajwaPresident · (314) 616-1276
Enumeration DateApril 21, 2008
✔ NPI 1154595122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
License✔ Licensed in MO · LC0531406
1519 VIRGINIA DR, Ellisville, MO 63011
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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

COMFORT IN HOME LLC
In Home Supportive Care
1519 VIRGINIA DR
ELLISVILLE, MO 63011
St. Louis County (314) 397-4574
MR. SIKANDER M BAJWA MAOM, PT
Physical Therapist
1519 VIRGINIA DR
ELLISVILLE, MO 63011
St. Louis County (314) 616-1276

Frequently Asked Questions

What is CRESCENT PHYSICAL REHABILITATION, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1154595122, enumerated as an "organization" on April 21, 2008.

Where is the provider located?

The provider is located at 1519 VIRGINIA DR ELLISVILLE, MO 63011 and the phone number is (314) 616-1276.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.