OrganizationActive
Ellisville Rehab Center, Inc
NPI 1104127844 · Exclusive Provider Organization · Ellisville, MO
Provider details
- NPI number
- 1104127844
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Leslie Siess, Owner(636) 256-0880
- License
- 26-6639 (MO)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16075 Manchester Rd
Ellisville, MO 63011-2103
Phone: (636) 256-0880
Fax: (636) 256-9153
Street-level locationGet directions
Mailing address
16075 Manchester Rd
Ellisville, MO 63011-2103
Registry dates
- Enumerated
- 2010-11-11
- Last updated
- 2010-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.