Organization Active NPI

Rehab Outreach, L.L.C.

  • Rehabilitation Clinic/Center
  • Columbia, MO
National Provider Identifier
1295784197
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
REHAB OUTREACH, L.L.C.
Practice address
1100 Club Village Dr
Suite 103
Columbia, MO 65203-4409
Phone
(573) 256-2777
Fax
(573) 256-2764
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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
Phone
(314) 506-8800

Specialties & licenses 1

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

Addresses

Primary practice location

1100 Club Village Dr
Suite 103
Columbia, MO 65203-4409

Mailing address

2127 Innerbelt Business Center Dr
Suite 107
Saint Louis, MO 63114-5700
Phone (314) 506-8800

Other identifiers 1

IdentifierTypeStateIssuer
1295784197OtherMOMEDICARE NPI

Other names 1

  • Renaissance Therapy of Columbia Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1295784197",
    "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": "1100 CLUB VILLAGE DR",
            "address_2": "SUITE 103",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034409",
            "telephone_number": "573-256-2777",
            "fax_number": "573-256-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB OUTREACH, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "DULLE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1295784197",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Therapy of Columbia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.