NPIMap

Organization Active NPI

Ozark Health Ventures, LLC

Doing business as Ozark Neuro Rehab Center

  • Rehabilitation Clinic/Center
  • Springfield, MO
National Provider Identifier
1225113640
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
2004031906 Issued in MO
Legal business name
OZARK HEALTH VENTURES, LLC
Doing business as
Ozark Neuro Rehab Center
Practice address
3550 S National Ave
Ste 200
Springfield, MO 65807-7309
Phone
(417) 269-9300
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Scott R Reynolds
Title
Vice President - Finance
Phone
(417) 820-2818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 2004031906 MO Primary

Addresses

Primary practice location

3550 S National Ave
Ste 200
Springfield, MO 65807-7309

Mailing address

3550 S National Ave
Ste 200
Springfield, MO 65807-7309
Phone (417) 269-9300

Other identifiers 1

IdentifierTypeStateIssuer
575453808MedicaidMO

Other names 1

  • Ozark Neuro Rehab Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210903001437 MO Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1658321377 Practice locations: Springfield, MO

Outpatient physical therapy / speech pathology certification: CCN 266623

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
OZARK NEURO REHAB CENTER
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Sep 4, 2001
Last certification
Mar 31, 2021
Ownership / control type
Proprietary
Facility address
3550 South National Suite 200
Springfield, MO 65807

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3550 S National Ave
Springfield, MO 65807

3550 S National Ave
Ste 100
Springfield, MO 65807
Phone (417) 269-9300

3522 S National Ave
Springfield, MO 65807
Phone (417) 269-9300

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1225113640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 S NATIONAL AVE",
            "address_2": "STE 200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077309",
            "telephone_number": "417-269-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 S NATIONAL AVE",
            "address_2": "STE 200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077309",
            "telephone_number": "417-269-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK HEALTH VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT - FINANCE",
        "authorized_official_telephone_number": "417-820-2818"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MO",
            "license": "2004031906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "575453808",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ozark Neuro Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.