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PROREHAB PC
NPI 1629691639
Clinic/Center in Rolla, MO

Active since May 26, 2020
603 S BISHOP AVE STE B, ROLLA, MO 65401(573) 202-6537(573) 426-7001 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Prorehab Pc NPPES

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

PROREHAB PC (NPI 1629691639), doing business as Athletico Physical Therapy, is a healthcare organization registered as a clinic/center in Rolla, Missouri and active in the NPI registry since May 2020. The organization lists Juana Granados, Credentialing Mananger, as its authorized official.

NPPES Registry Identity

NPI1629691639
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePROREHAB PC
Location Address603 S BISHOP AVE STE BRolla, MO 65401-4320
Mailing Address600 Oakmont Ln Ste 600cWestmont, IL 60559-5548 · (630) 575-6250 · Fax (630) 575-7450
Phone(573) 202-6537
Fax(573) 426-7001
Organization SubpartYes
Authorized OfficialJuana GranadosCredentialing Mananger · (630) 575-1980
Enumeration DateMay 26, 2020
NPPES CertifiedMay 26, 2020
✔ NPI 1629691639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
603 S BISHOP AVE STE B, Rolla, MO 65401
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Other Names 1

Doing Business AsAthletico Physical Therapy

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DRAKE T SMITH DPT
Physical Therapist
603 S BISHOP AVE STE B
ROLLA, MO 65401
Phelps County (573) 202-6537
NICHOLAS R GIACALONE DPT
Physical Therapist
603 S BISHOP AVE STE B
ROLLA, MO 65401
Phelps County (573) 202-6537
BLAKE WILLIAMS
Physical Therapist
603 S BISHOP AVE STE B
ROLLA, MO 65401
Phelps County (573) 202-6537

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 Prorehab PC's NPI number?

The NPI number for Prorehab PC is 1629691639. It was assigned to this organization in the NPPES registry on May 26, 2020. The provider is doing business as Athletico Physical Therapy.

Where is Prorehab PC located?

Prorehab PC is located at 603 S Bishop Ave Ste B, Rolla, MO 65401. The listed phone number is (573) 202-6537.

What is Prorehab PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Prorehab PC was last updated on May 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.