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

Q: 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.

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: October 25, 2026.

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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 Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olympic Rehab Wellness And Pain Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateMissouriEnrollment IDO20061116000547Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Olympic Rehab Wellness And Pain Center PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alexander Beyzer, M.D.

Physical Medicine and Rehabilitation

NPI 1063526093

10420 OLD OLIVE STREET RD STE 305
Saint Louis, MO 63141

(314) 849-1003

✔ PECOS✔ Accepts MedicareSame address

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

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.

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.

Is Olympic Rehab Wellness And Pain Center PC enrolled in Medicare?

Yes. Olympic Rehab Wellness And Pain Center PC is registered in the Medicare PECOS enrollment system.

When is Olympic Rehab Wellness And Pain Center PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Olympic Rehab Wellness And Pain Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Olympic Rehab Wellness And Pain Center PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sunflower Health Plan and Ambetter of Oklahoma 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.