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 1114538097

Prorehab PC is a Physical Therapist in Saint Louis, Missouri. Registered with an NPI since 2020.

In the registry since
2020
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

3156 Telegraph Rd
Saint Louis, MO 63125-5500
Phone: (314) 894-8616
Fax: (314) 894-8633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1114538097
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProrehab PC
Authorized official Juana Granados — Credentialing Manager · (630) 575-1980
Other names Athletico Physical Therapy
NPI enumeratedAugust 13, 2020
Last updated in NPPESAugust 13, 2020
Certification dateAugust 13, 2020
Mailing address600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548

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