Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prorehab PC

Organization Physical Therapist · NPI 1104467547

Prorehab PC is a Physical Therapist in Perryville, Missouri. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1418 W Saint Joseph St Ste 170
Perryville, MO 63775-1678
Phone: (573) 513-8170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1104467547
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juana Granados — Credentialing Manager · (630) 575-1980
Other names Athletico Physical Therapy
NPI enumeratedOctober 7, 2019
Last updated in NPPESOctober 7, 2019
Mailing address600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548

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