Regional Pain and Rehab Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

005690 Issued in MO

Legal business name

REGIONAL PAIN AND REHAB CENTER, LLC

Practice address

706 S Kingshighway St
Sikeston, MO 63801-5918

Phone

(573) 471-2453

Fax

(573) 643-9905

NPI assigned

Feb 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Craig Harrison, D.C.NPI 1114027802

Title

Doctor of Chiropractic

Phone

(573) 471-2453

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 3

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

• Jeffrey Harrison, D.C.

  • Chiropractor
  • Sikeston, MO
  • NPI 1114027802
  Medicare reassignment Authorized official
• Stacy Jeanette Barton, LPC

  • Mental Health Counselor
  • Doniphan, MO
  • NPI 1710589866
  NPD (past)
• Anthony A Soriente, DC

  • Chiropractor
  • Conway, NH
  • NPI 1134109424
  NPD (past)

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1366748378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 S KINGSHIGHWAY ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015918",
            "telephone_number": "573-471-2453",
            "fax_number": "573-643-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 S KINGSHIGHWAY ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015918",
            "telephone_number": "573-471-2453",
            "fax_number": "573-643-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL PAIN AND REHAB CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "573-471-2453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria R Reazer, PT
• Gail Redman, DDS
• Miles C Reece III, DO
• Joyce M. Reed, D.O
• Regional Brain & Spine LLC
• Jordan A Reischman, FNP
• Renewed Strength Counseling , LLC
• Melissa Ann Rentfrow, PT
• Resource Anesthesiology Associates of Mo LLC
• Melissa Gay Rhodes, F.N.P.-B.C.

• Chiropractor in Sikeston, MO
• Providers in Sikeston, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.