SPINE REHAB AT HOME LLC
NPI 1396353587
Clinic/Center - Physical Therapy in Ballwin, MO

Active since July 14, 2020
481 DANA MEADOWS LN, BALLWIN, MO 63021(314) 626-3161 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 5, 2023, Jul 14, 2020 (2 updates tracked since 2020).

About Spine Rehab At Home Llc NPPES

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

SPINE REHAB AT HOME LLC (NPI 1396353587) is a healthcare organization registered as a physical therapy in Ballwin, Missouri and active in the NPI registry since July 2020. The organization lists Kyle Winters, Owner, as its authorized official.

NPPES Registry Identity

NPI1396353587
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameSPINE REHAB AT HOME LLC
Location Address481 DANA MEADOWS LNBallwin, MO 63021-6493
Mailing Address481 Dana Meadows LnBallwin, MO 63021-6493 · (314) 626-3161 · Fax (314) 200-2012
Organization SubpartNo
Authorized OfficialKyle WintersOwner · (314) 626-3161
Enumeration DateJuly 14, 2020
Last NPPES UpdateMay 5, 20232 updates tracked since enumeration
NPPES CertifiedMay 5, 2023
✔ NPI 1396353587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An 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.
481 DANA MEADOWS LN, Ballwin, MO 63021

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spine Rehab At Home Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Spine Rehab At Home LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Physical Therapist in Private Practice
NPI 1346036555
481 DANA MEADOWS LN
Ballwin, MO 63021
(314) 626-3161
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1700200821
481 DANA MEADOWS LN
Ballwin, MO 63021
(314) 626-3161
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1629521802
4955 S STATE ROUTE 159 STE. B
Glen Carbon, IL 62034
(618) 288-4677
✔ Accepts Medicare33 mi
Physical Therapist in Private Practice
NPI 1508810391
1718 W MAIN ST
Robinson, IL 62454
(618) 421-4773
✔ Accepts Medicare152 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Spine Rehab At Home LLC's NPI number?

The NPI number for Spine Rehab At Home LLC is 1396353587. It was assigned to this organization in the NPPES registry on July 14, 2020.

Where is Spine Rehab At Home LLC located?

Spine Rehab At Home LLC is located at 481 Dana Meadows Ln, Ballwin, MO 63021. The listed phone number is (314) 626-3161.

What is Spine Rehab At Home LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Spine Rehab At Home LLC enrolled in Medicare?

Yes. Spine Rehab At Home LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spine Rehab At Home LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Spine Rehab At Home LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Spine Rehab At Home LLC was last updated on May 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.