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Columbia Rehab Specialists, LLC

Organization Active NPI Physical Therapy Clinic/Center · Columbia, IL

NPI 1003842261 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1003842261
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapy Clinic/Center 261QP2000X
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
Organization subpart
No

Authorized official

Name
Rebecca Renee Badgerow-Watson, MPT, OCS
Title
Owner
Phone
(618) 281-0374

National Provider Directory

Locations

236 Southwoods Ctr
Columbia, IL 62236
Phone (618) 281-0374

100 N Main St
Columbia, IL 62236
Phone (618) 281-0374

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X IL Yes

Addresses

Primary practice location

236 Southwoods Ctr
Columbia, IL 62236-2462

Mailing address

236 Southwoods Ctr
Columbia, IL 62236-2462
Phone (618) 281-0374

Other identifiers

IdentifierTypeStateIssuer
277645OtherGHP
5660579OtherFIRST HEALTH/CCN
9419162OtherPHCS
13897OtherESSENCE HEALTHCARE
205903OtherBC/BS OF MO
7361646OtherAETNA
K23120OtherMERCY
355645409001MedicaidIL
06732025OtherBC/BS OF IL
737359OtherHEALTHLINK

Other providers in Columbia, IL

All providers in Columbia, IL · Physical Therapy Clinic/Center in Illinois

Sources for this page

Verify at the official NPI Registry.