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SUNDANCE REHABILITATION AGENCY OF MISSOURI
NPI 1407012990
Clinic/Center - Rehabilitation in Ballwin, MO

Active since August 04, 2008
14525 CLAYTON RD, APT #410, BALLWIN, MO 63011(636) 527-3510(636) 527-3510 Get Directions Write a Review

NPPES record last updated: September 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sundance Rehabilitation Agency Of Missouri NPPES

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

SUNDANCE REHABILITATION AGENCY OF MISSOURI (NPI 1407012990) is a healthcare organization registered as a rehabilitation in Ballwin, Missouri and active in the NPI registry since August 2008. The organization lists Sue Gwyn, President Director, as its authorized official.

NPPES Registry Identity

NPI1407012990
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameSUNDANCE REHABILITATION AGENCY, INC
Location Address14525 CLAYTON RD, APT #410Ballwin, MO 63011-2764
Mailing Address101 Sun Ave Ne, Compliance DepartmentAlbuquerque, NM 87109-4373 · (505) 468-5604 · Fax (505) 468-4681
Phone(636) 527-3510
Fax(636) 527-3510
Organization SubpartYesParent: Sundance Rehabilitation Corporation
Authorized OfficialSue GwynPresident Director · (505) 821-3355
Enumeration DateAugust 4, 2008
Last NPPES UpdateSeptember 30, 2009
✔ NPI 1407012990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
14525 CLAYTON RD, Ballwin, MO 63011
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Other Names 1

Doing Business AsSundance Rehabilitation Agency Of Missouri

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 Sundance Rehabilitation Agency, Inc's NPI number?

The NPI number for Sundance Rehabilitation Agency, Inc is 1407012990. It was assigned to this organization in the NPPES registry on August 4, 2008. The provider is doing business as Sundance Rehabilitation Agency Of Missouri.

Where is Sundance Rehabilitation Agency, Inc located?

Sundance Rehabilitation Agency, Inc is located at 14525 Clayton Rd Apt #410, Ballwin, MO 63011. The listed phone number is (636) 527-3510.

What is Sundance Rehabilitation Agency, Inc'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 Sundance Rehabilitation Agency, Inc was last updated on September 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.