Professional Athletic Rehabilitation, LLC
NPI 1184900516ActiveOrganization· Specialist/Technologist, Athletic Trainer· Saint Louis, MO
Specialist/Technologist, Athletic Trainer in Saint Louis, Missouri, registered in NPPES in October 2011. The authorized official on file is Michael Patrick Berry, LAT, Director Of Sports Medicine.
Overview
| NPI | 1184900516 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 31, 2011 |
| Last updated in NPPES | Oct 31, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Athletic Trainer Primary | 2255A2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Specialist/Technologist, Athletic Trainer providers in Saint Louis
- 1053593319
- 1003299132
- 1093339590
- 1457768087
- 1588058226
- 1356798508
- 1487003885
- 1174236681
- 1396142600
- 1538345723
- 1184100380
- 1295136893
All Specialist/Technologist, Athletic Trainer providers in Missouri →