# FLORISSANT MEDICAL REHAB GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841732898
- **Authorized official:** AHMED SYED ALI MD (OWNER PARTNER)
- **Authorized official phone:** (314) 736-1333

## Contact information

- **Practice address:** 1025 DUNN RD, FLORISSANT, MO 63031-8205
- **Practice address phone:** (314) 736-1333
- **Mailing address:** PO BOX 6441, CHESTERFIELD, MO 63006-6441
- **Mailing address phone:** (314) 736-1333
- **Mailing address fax:** (314) 736-1336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |

## Other

- **Enumeration date:** 11/08/2016
- **Last updated:** 09/27/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1841732898 | — | IL |
| 05 | — | 500040207 | — | MO |
| 01 | — | 7592400001 | MEDICARE NSC | MO |