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SSM SELECT REHAB ST. LOUIS, LLC
NPI 1750980785
Clinic/Center - Rehabilitation in Saint Louis, MO

Active since October 21, 2020
12539 OLIVE BLVD, SAINT LOUIS, MO 63141(314) 205-2006(314) 205-2241 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ssm Select Rehab St. Louis, Llc NPPES

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

SSM SELECT REHAB ST. LOUIS, LLC (NPI 1750980785) is a healthcare organization registered as a rehabilitation in Saint Louis, Missouri and active in the NPI registry since October 2020. The organization lists Michael Tarvin, Vice President, as its authorized official.

NPPES Registry Identity

NPI1750980785
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameSSM SELECT REHAB ST. LOUIS, LLC
Location Address12539 OLIVE BLVDSaint Louis, MO 63141-6311
Mailing Address4714 Gettysburg RdMechanicsburg, PA 17055-4325 · (717) 972-1100
Phone(314) 205-2006
Fax(314) 205-2241
Organization SubpartNo
Authorized OfficialMichael TarvinVice President · (717) 972-1100
Enumeration DateOctober 21, 2020
NPPES CertifiedOctober 21, 2020
✔ NPI 1750980785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
12539 OLIVE BLVD, Saint Louis, MO 63141
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Other Providers at the Same Location NPPES 7

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

MINDY PENN P.T.
Physical Therapist
12539 OLIVE BLVD
SAINT LOUIS, MO 63141
St. Louis County (314) 205-2006
JENNIFER MILLER P.T.
Physical Therapist
12539 OLIVE BLVD
SAINT LOUIS, MO 63141
St. Louis County (314) 205-2006
TODD ALAN PRATT O.T.R.
Occupational Therapist
12539 OLIVE BLVD
SAINT LOUIS, MO 63141
St. Louis County (314) 205-2006
JANET PRATT P.T.
Clinic/Center (Physical Therapy)
12539 OLIVE BLVD
SAINT LOUIS, MO 63141
St. Louis County (314) 205-2006
RACHEL DISTELRATH
Physical Therapist
12539 OLIVE BLVD
CREVE COEUR, MO 63141
St. Louis County (314) 205-2006
AQUATIC FITNESS, INC.
Clinic/Center (Physical Therapy)
12539 OLIVE BLVD
SAINT LOUIS, MO 63141
St. Louis County (314) 205-2006
MRS. KATHLEEN M MONZYK PT
Physical Therapist (Orthopedic)
12539 OLIVE BLVD
CREVE COEUR, MO 63141
St. Louis County (314) 205-2006

Frequently Asked Questions

What is SSM SELECT REHAB ST. LOUIS, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1750980785, enumerated as an "organization" on October 21, 2020.

Where is the provider located?

The provider is located at 12539 OLIVE BLVD SAINT LOUIS, MO 63141 and the phone number is (314) 205-2006.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.