JOINT VENTURE REHABILITATION NPI 1295970325

Clinic/Center (Physical Therapy) in Saint Louis, MO

NPI 1295970325 Organization Clinic/Center Physical Therapy

About JOINT VENTURE REHABILITATION

Joint Venture Rehabilitation is a provider established in Saint Louis, Missouri specializing in clinic/center (physical therapy) . The NPI number of Joint Venture Rehabilitation is 1295970325 and was assigned on December 2008. The practitioner's primary taxonomy code is 261QP2000X with license number 01532 (MO). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Shawn Kelly Everson Pt, Dpt, Ocs, Mtc (Physical Therapist/owner)

NPI

1295970325

Provider NameJOINT VENTURE REHABILITATION
Provider Location Address763 S NEW BALLAS RD 200 SAINT LOUIS, MO 63141
Provider Mailing Address763 S NEW BALLAS RD 200 SAINT LOUIS, MO 63141
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date12-03-2008
Last Update Date06-22-2009


Primary Taxonomy

Taxonomy Code261QP2000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationPhysical Therapy
License No.01532
License StateMO
Taxonomy DescriptionAn 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.

Business Address

JOINT VENTURE REHABILITATION
763 S NEW BALLAS RD
200
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 991-2562

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Mailing Address

JOINT VENTURE REHABILITATION
763 S NEW BALLAS RD
200
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 991-2562



Authorized Official

Authorized Official Name SHAWN KELLY EVERSON PT, DPT, OCS, MTC
Authorized Official TitlePHYSICAL THERAPIST/OWNER
Authorized Official Phone(314) 991-2562

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
25456MEDICARE PIN (08)MO

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871592626 NEAL ASKUVICH LCSW
Individual
Social Worker (Clinical)763 S NEW BALLAS RD SUITE 110
SAINT LOUIS, MO 63141
(314) 569-1717
1750380515 MARY LOU BOURQUE LPC
Individual
Counselor (Mental Health)763 S NEW BALLAS RD SUITE 110
SAINT LOUIS, MO 63141
(314) 569-1717
1194724971 KIM DRESSEL LCSW
Individual
Social Worker (Clinical)763 S NEW BALLAS RD SUITE 110
SAINT LOUIS, MO 63141
(314) 569-1717
1609875376 JO ANN SHEW RN
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)763 S NEW BALLAS RD SUITE 110
SAINT LOUIS, MO 63141
(314) 569-1717
1508865270 BRUCE TOULMIN LCSW
Individual
Social Worker (Clinical)763 S NEW BALLAS RD SUITE 110
SAINT LOUIS, MO 63141
(314) 569-1717
1336148071 MARTI SENSAKOVIC LPC
Individual
Counselor (Mental Health)763 S NEW BALLAS RD SUITE 110
SAINT LOUIS, MO 63141
(314) 569-1717
1023017753 MONICA GRADY M.A.
Individual
Psychologist763 S NEW BALLAS RD SUITE 110
SAINT LOUIS, MO 63141
(314) 569-1717
1942267828DR. DAVID C BRUNTS PH.D.
Individual
Psychologist (Clinical)763 S NEW BALLAS RD SUITE 320
SAINT LOUIS, MO 63141
(314) 432-0100
1154352094DR. SCOTT HAINZ DC
Individual
Chiropractor763 S NEW BALLAS RD SUITE 230
CREVE COEUR, MO 63141
(314) 681-2800
1821006446DR. DEAN LAWRENCE ROSEN PSY.D.
Individual
Psychologist (Clinical)763 S NEW BALLAS RD SUITE 202
SAINT LOUIS, MO 63141
(314) 872-0288
1275615544EVERSON ORTHOPEDIC, PC
Organization
Physical Therapist763 S NEW BALLAS RD #200
SAINT LOUIS, MO 63141
(314) 991-2562
1194863753DR. ELIZABETH F. GRODSKY PH.D.
Individual
Psychologist (Clinical)763 S NEW BALLAS RD SUITE 202
SAINT LOUIS, MO 63141
(314) 991-2001
1215051149MRS. HILLARY A. HAARMANN MSW, LCSW
Individual
Social Worker (Clinical)763 S NEW BALLAS RD STE. 110
SAINT LOUIS, MO 63141
(314) 569-1717
1578784971MRS. ASHLEY LARE WATSON LPC
Individual
Counselor (Professional)763 S NEW BALLAS RD SUITE 340
SAINT LOUIS, MO 63141
(314) 872-2972
1154542645 ELIZABETH NICHOLE LEHMAN PTA
Individual
Physical Therapy Assistant763 S NEW BALLAS RD 200
SAINT LOUIS, MO 63141
(314) 991-2562
1598986002 SHAWN K EVERSON MHS, PT, OCS, MTC
Individual
Physical Therapist763 S NEW BALLAS RD 200
SAINT LOUIS, MO 63141
(314) 991-2562
1154519080MR. DOUGLAS J SAMSEL M.A., L.P.C.
Individual
Counselor (Professional)763 S NEW BALLAS RD SUITE 340
SAINT LOUIS, MO 63141
(314) 872-2972
1003004557MR. ERIC SCOTT BAILE M.DIV., MAC
Individual
Counselor (Mental Health)763 S NEW BALLAS RD SUITE 340
SAINT LOUIS, MO 63141
(314) 872-2972
1306028774MIDWEST CONSULTING AND IME
Organization
Clinic/Center763 S NEW BALLAS RD SUITE 230
CREVE COEUR, MO 63141
(314) 681-2800
1376878421 AMELIA LYNN PEREZ
Individual
Physical Therapy Assistant763 S NEW BALLAS RD SUITE 200
SAINT LOUIS, MO 63141
(314) 991-2562

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.