Rehab Outreach, L.L.C.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

REHAB OUTREACH, L.L.C.

Doing business as

SEMO Sports and Rehabilitation Center

Practice address

1011 S Madison St
Malden, MO 63863-2462

Phone

(573) 276-4999

Fax

(573) 276-5084

NPI assigned

Jun 22, 2006

Last updated

Dec 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Catherine A Dulle

Title

President/Ceo

Phone

(314) 506-8800

Specialties & licenses 1

Addresses

Other names 1

• SEMO Sports and Rehabilitation Center Doing business as

Practitioners 2

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.

• Shari Lyn Kicker, MPT

  • Physical Therapist
  • Hermann, MO
  • NPI 1851578009
  NPD (past)
• Chad Alva Powell, DPT

  • Physical Therapist
  • Hermann, MO
  • NPI 1972851632
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230249600000",
    "number": "1194761601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 INNERBELT BUSINESS CENTER DR",
            "address_2": "SUITE 107",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631145700",
            "telephone_number": "314-506-8800",
            "fax_number": "314-506-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 S MADISON ST",
            "city": "MALDEN",
            "state": "MO",
            "postal_code": "638632462",
            "telephone_number": "573-276-4999",
            "fax_number": "573-276-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB OUTREACH, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-12-26",
        "status": "A",
        "authorized_official_last_name": "DULLE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "314-506-8800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEMO Sports and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Poplar Bluff Regional Medical Center LLC (Malden Medical Center)
• Poplar Bluff Regional Medical Center, LLC (Malden Medical Center)
• Natalie Powell
• Premiere Healthcare LLC (Malden Pharmacy & Home Medical Equipment)
• Jeannette G Provance
• Rita D. Knight-Ritchie Dba Friends in-Home Services
• Rita Knight-Ritchie Dba Friends in-Home Services
• Lakeshia Rochelle Robinson
• Sage Creek Home Care LLC
• Sage Creek LLC

• Rehabilitation Clinic/Center in Malden, MO
• Providers in Malden, MO by specialty
• Rehabilitation Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2008; 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.