Prorehab PC
Prorehab PC is a healthcare organization registered as Clinic/Center in Rolla, MO, holding Type 2 (organization) NPI 1629691639 since 2020. The authorized official on file is Juana Granados, Credentialing Mananger.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1629691639 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Prorehab PC |
| Parent organization | Prorehab PC |
| Practice address | 603 S BISHOP AVE STE B, Rolla, MO, 65401 |
| Phone | 5732026537 |
| Fax | 5734267001 |
| Enumeration date | 2020-05-26 |
| Last updated in NPPES | 2020-05-26 |
Authorized official
| Name | Juana Granados |
|---|---|
| Title | Credentialing Mananger |
| Phone | 6305751980 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Secondary | — | — |
| 225X00000X | Occupational Therapist | Secondary | — | — |
| 261Q00000X | Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Prorehab PC NPI: 1629691639 Taxonomy: 261Q00000X (Clinic/Center) Address: 603 S BISHOP AVE STE B, Rolla, MO, 65401
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1437755873 | Nicholas Giacalone | Individual | Physical Therapist | Rolla, MO |
| 1194311944 | Drake Smith | Individual | Physical Therapist | Rolla, MO |
Verify this record
Cross-check NPI 1629691639 against the authoritative CMS record: view Prorehab PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Prorehab PC?
What is the NPI number for Prorehab PC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-05-26.