OrganizationActive
Elite Physical Therapy of Ofallon, LLC
NPI 1326578626 · Rehabilitation Clinic/Center · O Fallon, MO
Provider details
- NPI number
- 1326578626
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stephen Krzyminski, Executive Vice President(419) 221-6717
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
3074 Winghaven Blvd
O Fallon, MO 63368
Phone: (636) 265-4100
Fax: (636) 265-4043
Street-level locationGet directions
Mailing address
Po Box 150
Lima, OH 45802-0150
Other names (DBA / former)
- Doing business as
- Cora Physical Therapy - O'Fallon
Registry dates
- Enumerated
- 2017-06-19
- Last updated
- 2023-10-19
- Certified
- 2023-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.