Provider Demographics
NPI:1841744463
Name:REHABILITATION PROFESSIONALS, INC
Entity Type:Organization
Organization Name:REHABILITATION PROFESSIONALS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JONTY
Authorized Official - Middle Name:
Authorized Official - Last Name:FELSHER
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:314-644-1978
Mailing Address - Street 1:1034 S BRENTWOOD BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1223
Mailing Address - Country:US
Mailing Address - Phone:314-644-1978
Mailing Address - Fax:314-644-5730
Practice Address - Street 1:700 WEBER RD
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:IL
Practice Address - Zip Code:62269-2215
Practice Address - Country:US
Practice Address - Phone:618-624-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL146750OtherMEDICARE PTAN