Active NPI
Columbia Rehab Specialists, LLC
- Physical Therapy Clinic/Center
- Columbia, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- COLUMBIA REHAB SPECIALISTS, LLC
- Practice address
- 236 Southwoods Ctr
Columbia, IL 62236-2462 - Phone
- (618) 281-0374
- Fax
- (618) 281-0674
- NPI assigned
- Jun 22, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Renee Badgerow-Watson, MPT, OCS
- Title
- Owner
- Phone
- (618) 281-0374
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | IL | Primary |
Addresses
Primary practice location
236 Southwoods Ctr
Columbia, IL 62236-2462
Mailing address
236 Southwoods Ctr
Columbia, IL 62236-2462
Phone (618) 281-0374
National Provider Directory
National Provider DirectoryLocations
100 N Main St
Columbia, IL 62236
Phone (618) 281-0374
236 Southwoods Ctr
Columbia, IL 62236
Phone (618) 281-0374
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopedic Physical Therapist
- Columbia, IL
- NPI 1699847699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003842261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 SOUTHWOODS CTR",
"city": "COLUMBIA",
"state": "IL",
"postal_code": "622362462",
"telephone_number": "618-281-0374",
"fax_number": "618-281-0674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 SOUTHWOODS CTR",
"city": "COLUMBIA",
"state": "IL",
"postal_code": "622362462",
"telephone_number": "618-281-0374",
"fax_number": "618-281-0674"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBIA REHAB SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BADGEROW-WATSON",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "618-281-0374",
"authorized_official_credential": "MPT, OCS"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.