OrganizationActive
Rebel Wellness, LLC
NPI 1568157139 · Clinic/Center · Crystal City, MO
Rebel Wellness, LLC is a Clinic/Center organization in Crystal City, MO (NPI 1568157139).
Provider details
- NPI number
- 1568157139
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer O'Donnell, Member(314) 238-4101
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
1000 N Truman Blvd Ste C
Crystal City, MO 63019-1311
Phone: (636) 638-1017
Street-level locationGet directions
Mailing address
1000 N Truman Blvd Ste C
Crystal City, MO 63019-1311
Other names (DBA / former)
- Doing business as
- Balanced Wellness
Registry dates
- Enumerated
- 2023-04-10
- Last updated
- 2023-04-10
- Certified
- 2023-04-09
Frequently asked questions
- What is Rebel Wellness, LLC's NPI number?
- Rebel Wellness, LLC's National Provider Identifier (NPI) is 1568157139, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rebel Wellness, LLC?
- Rebel Wellness, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Rebel Wellness, LLC located?
- Rebel Wellness, LLC's practice location on file with NPPES is 1000 N Truman Blvd Ste C, Crystal City, MO 63019-1311.
- What is Rebel Wellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Rebel Wellness, LLC is (636) 638-1017.
- Who is the authorized official for Rebel Wellness, LLC?
- The authorized official listed on Rebel Wellness, LLC's NPPES record is Jennifer O'Donnell, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rebel Wellness, LLC's NPI active?
- Yes — Rebel Wellness, LLC's NPI (1568157139) is active in the NPPES registry as of the last update on 2023-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.