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OLYMPIC REHAB WELLNESS AND PAIN CENTER PC
NPI 1669484119
Pain Medicine - Pain Medicine in Saint Louis, MO

Active since August 13, 2006CLIA 26D2006713 · Certificate of Compliance
10420 OLD OLIVE STREET RD STE 305, SAINT LOUIS, MO 63141(314) 849-1003(314) 455-3469 Get Directions Write a Review

NPPES record last updated: June 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Olympic Rehab Wellness And Pain Center Pc NPPES

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

OLYMPIC REHAB WELLNESS AND PAIN CENTER PC (NPI 1669484119) is a healthcare organization registered as a pain medicine in Saint Louis, Missouri and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 23, 2027 and lists Alexander Beyzer, Owner, as its authorized official.

NPPES Registry Identity

NPI1669484119
Entity TypeOrganization
Primary Taxonomy208VP0000X
Legal Business NameOLYMPIC REHAB WELLNESS AND PAIN CENTER PC
Location Address10420 OLD OLIVE STREET RD STE 305Saint Louis, MO 63141-5914
Mailing Address10420 Old Olive Street Rd Ste 305Saint Louis, MO 63141-5914 · (314) 849-1003 · Fax (314) 455-3469
Phone(314) 849-1003
Fax(314) 455-3469
Organization SubpartNo
Authorized OfficialAlexander BeyzerOwner · (314) 849-1003
Enumeration DateAugust 13, 2006
Last NPPES UpdateJune 9, 2024
NPPES CertifiedJune 9, 2024
✔ NPI 1669484119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
License✔ Licensed in MO · 111213
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
10420 OLD OLIVE STREET RD STE 305, Saint Louis, MO 63141
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Other Identifiers 1

Medicaid507194207MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 26D2006713

Olympic Rehab Wellness And Pain Center · Saint Louis, MO
Active · expires Jan 23, 2027
CLIA Number26D2006713
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorJoseph A. Crifasi
Laboratory Phone(314) 849-1003
Laboratory LocationOlympic Rehab Wellness And Pain Center10420 Old Olive Street Rd Ste 305, Saint Louis, MO 63141
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

TATYANA PETROSOVA MD
Internal Medicine (Nephrology)
10420 OLD OLIVE STREET RD STE 305
SAINT LOUIS, MO 63141
St. Louis County (314) 797-7074
ALEXANDER BEYZER M.D.
Pain Medicine (Pain Medicine)
10420 OLD OLIVE STREET RD STE 305
SAINT LOUIS, MO 63141
St. Louis County (314) 849-1003
TATYANA PETROSOVA, MD PC
Internal Medicine (Nephrology)
10420 OLD OLIVE STREET RD STE 305
SAINT LOUIS, MO 63141
St. Louis County (314) 797-7074

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 Olympic Rehab Wellness And Pain Center PC's NPI number?

The NPI number for Olympic Rehab Wellness And Pain Center PC is 1669484119. It was assigned to this organization in the NPPES registry on August 13, 2006.

Where is Olympic Rehab Wellness And Pain Center PC located?

Olympic Rehab Wellness And Pain Center PC is located at 10420 Old Olive Street Rd Ste 305, Saint Louis, MO 63141. The listed phone number is (314) 849-1003.

What is Olympic Rehab Wellness And Pain Center PC's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Does Olympic Rehab Wellness And Pain Center PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 26D2006713) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Olympic Rehab Wellness And Pain Center PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Olympic Rehab Wellness And Pain Center PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Olympic Rehab Wellness And Pain Center PC was last updated on June 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.