NPIMap

Organization Active NPI

Select Rehab

  • Skilled Nursing Facility
  • Springfield, MO
National Provider Identifier
1114272374
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
116911 Issued in MO
Legal business name
SELECT REHAB
Practice address
1707 W Elfindale St
Springfield, MO 65807-1246
Phone
(417) 831-2273
Fax
(417) 831-7409
NPI assigned
Jul 13, 2012
Last updated
Jul 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Michael Leon SullivanNPI 1285987818
Title
Pta
Phone
(417) 840-1588

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 116911 MO
Skilled Nursing Facility 314000000X 116911 MO Primary

Addresses

Primary practice location

1707 W Elfindale St
Springfield, MO 65807-1246

Mailing address

2180 S Forrest Heights Ave
Springfield, MO 65809-2971
Phone (417) 840-1588

National Provider Directory

National Provider Directory
Tax ID family
Select Rehabilitation13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1114272374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 S FORREST HEIGHTS AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658092971",
            "telephone_number": "417-840-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 W ELFINDALE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658071246",
            "telephone_number": "417-831-2273",
            "fax_number": "417-831-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "417-840-1588",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MO",
            "license": "116911",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "116911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.