Mid America Rehab

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MID AMERICA REHAB

Practice address

206 Hospital LN
Suite 100
Perryville, MO 63775-1276

Phone

(573) 768-3349

NPI assigned

Oct 14, 2009

Last updated

Oct 14, 2009By 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

Amanda Jo Myers, MPT

Title

Physical Therapist

Phone

(573) 783-6688

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1306171053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 HOSPITAL LN",
            "address_2": "SUITE 100",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751276",
            "telephone_number": "573-768-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 HOSPITAL LN",
            "address_2": "SUITE 100",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751276",
            "telephone_number": "573-768-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID AMERICA REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "573-783-6688",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Hospital Perry (Mercy Hospital Perry - RHC III)
• Mercy Hospital Perry
• Mercy Pharmacy Services, LLC (Mercy Pharmacy LTC Perryville)
• Mercy Pharmacy Services, LLC (Mercy Pharmacy Perryville)
• Kristie Meyer
• Midwest Total Urgent Care, LLC
• Catherine Miget, FNP
• Mkalma, LLC (Holiday Residential Care)
• Moeckel Chiropractic Physicians
• Keith James Moeckel, DC

• Physical Therapy Clinic/Center in Perryville, MO
• Providers in Perryville, MO by specialty
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.