Pioneer Sports Medicine & Physical Therapy
LBN: Community Rehab Of Greenville Inc
Pioneer Sports Medicine & Physical Therapy is an health care organization with primary practice located at 3808 S Lindbergh Blvd Suite 105, Saint Louis MO 63127-1367. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Ambulatory Health Care Facilities / Physical Therapy. Ambulatory Health Care Facilities / Physical Therapy is the primary health care specialty.
Community Rehab Of Greenville Inc can be contacted via phone (314) 843-7800, or through Fayard, Melanie L via phone (228) 436-0999.
Contact Information
Primary practice address
3808 S Lindbergh Blvd Suite 105
Saint Louis MO 63127-1367
Phone: (314) 843-7800
Fax: (314) 843-7804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | NONE REQUIRED | Missouri |
Profile Details
| NPI number | 1801984810 |
|---|---|
| LBN Legal business name | Community Rehab Of Greenville Inc |
| DBA Doing business as | Pioneer Sports Medicine & Physical Therapy |
| Authorized official | Fayard, Melanie L Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Jul 2nd, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801984810 | NPPES |
| Missouri | Other | 186721 | BCBS GROUP PROVIDER NUMBE |
| Missouri | Other | 656018 | BCBS GROUP PROVIDER NUMBE |
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