OrganizationPain Rehab Products, Inc.Durable Medical Equipment & Medical SuppliesSuppliersPractice Address2339 Weldon Pkwy, Saint Louis, MO 63146-3207(314) 832-7246PECOS EnrollmentBased on the most recent information from CMS, provider Pain Rehab Products, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1306930466Provider TypeOrganizationFull NamePain Rehab Products, Inc.SubpartNoEnumeration Date10/3/2006Last Updated1/21/2014Contact InformationPractice LocationPractice Address2339 Weldon Pkwy, Saint Louis, MO 63146-3207Phone(314) 832-7246Fax(314) 832-1430Mailing LocationMailing Address2339 Weldon Pkwy, Saint Louis, MO 63146-3207Phone(314) 832-7246Fax(314) 832-1430Authorized OfficialNameFixley, Greggory (President)Phone(314) 832-7246Provider TaxonomiesCodeDescriptionLicenseCode332B00000XPrimaryDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID141100500DescriptionOtherIssuerDEPT OF LABORID151181DescriptionOtherIssuerBLUE CROSS/BLUE SHIELDMissouriID626185300DescriptionMedicaidIssuerUnlistedMissouriID39466DescriptionOtherIssuerGROUP HEALTH PLANMissouriID8200174DescriptionOtherIssuerUNITED HEALTHCARE OF THEMissouriID450099DescriptionOtherIssuerHEALTHLINK