Healer S Touch Rehabilitation Services, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2005040393 Issued in MO

Legal business name

HEALER S TOUCH REHABILITATION SERVICES, LLC

Doing business as

Vandalia Physical Therapy

Practice address

108 S Main St
Vandalia, MO 63382-1806

Phone

(573) 594-2520

NPI assigned

Apr 24, 2009

Last updated

May 21, 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

Jerome Gerongco Canama, RPTNPI 1992983142

Title

Sole Member

Phone

(925) 285-4422

Specialties & licenses 1

Addresses

Other names 1

• Vandalia Physical Therapy Doing business as

Locations

Practitioners 1

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.

• Jerome Gerongco Canama, PT

  • Physical Therapist
  • Mexico, MO
  • NPI 1992983142
  Authorized official Same address or phone

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1467696104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 YALE ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652340",
            "telephone_number": "573-582-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S MAIN ST",
            "city": "VANDALIA",
            "state": "MO",
            "postal_code": "633821806",
            "telephone_number": "573-594-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALER S TOUCH REHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "CANAMA",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "GERONGCO",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "925-285-4422",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2005040393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vandalia Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Countryside Manor LLC
• Christina Dixon, AGNP-C
• Dr. Craig a. Long, D.D.S.
• Nicole Gibson
• Crisanto Gualberto, M.D.
• Jody L. Horner
• Nicole Marie James, LCSW
• Linda Kendrick, FNP
• Alexandria McCandless, OTA
• Katlyn Renee Meyers, OTR/L

• Physical Therapist in Vandalia, MO
• Providers in Vandalia, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.