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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: August 09, 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 NPPES 2

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

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

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 Crescent Physical Rehabilitation, LLC's NPI number?

The NPI number for Crescent Physical Rehabilitation, LLC is 1154595122. It was assigned to this organization in the NPPES registry on April 21, 2008.

Where is Crescent Physical Rehabilitation, LLC located?

Crescent Physical Rehabilitation, LLC is located at 1519 Virginia Dr, Ellisville, MO 63011. The listed phone number is (314) 616-1276.

What is Crescent Physical Rehabilitation, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Crescent Physical Rehabilitation, LLC was last updated on April 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.