Prorehab PC
Prorehab PC is a healthcare organization registered as Physical Therapy Clinic/Center in Ellisville, MO, holding Type 2 (organization) NPI 1760435440 since 2006. The authorized official on file is Dorene Mack, A/R Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1760435440 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Prorehab PC |
| Practice address | 15884 MANCHESTER RD, Ellisville, MO, 63011 |
| Phone | 6363915400 |
| Fax | 6363949674 |
| Enumeration date | 2006-05-17 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Dorene Mack |
|---|---|
| Title | A/R Manager |
| Phone | 3142382209 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2000X | Physical Therapy Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Prorehab PC NPI: 1760435440 Taxonomy: 261QP2000X (Physical Therapy Clinic/Center) Address: 15884 MANCHESTER RD, Ellisville, MO, 63011
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1609822006 | Matthew Markelz | Individual | Athletic Trainer | Ellisville, MO |
| 1407878689 | Bryan Lind | Individual | Physical Therapist | Ellisville, MO |
| 1417066168 | Douglas Walker | Individual | Physical Therapist | Ellisville, MO |
| 1881704906 | Andrew Howard | Individual | Physical Therapist | Ellisville, MO |
| 1235230400 | Jacqueline Sullivan | Individual | Physical Therapy Assistant | Ellisville, MO |
| 1972084689 | John Mchenry | Individual | Physical Therapist | Ellisville, MO |
Verify this record
Cross-check NPI 1760435440 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
Where is Prorehab PC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.