Active Rehab LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

000324 Issued in MO

Legal business name

ACTIVE REHAB LLC

Practice address

2713A Industrial Dr
Jefferson City, MO 65109

Phone

(573) 634-7541

Fax

(573) 634-7543

NPI assigned

Sep 27, 2005

Last updated

Aug 22, 2020By 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

Cynthia Louise Gallatin, OTRNPI 1750408829

Title

Occupational Therapist Member

Phone

(573) 634-7541

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Cynthia Gallatin, OTR

  • Occupational Therapist
  • Jefferson City, MO
  • NPI 1750408829
  Authorized official Same address or phone
• Bridget P. Early, M.D.

  • Family Medicine Physician
  • Columbia, MO
  • NPI 1710968201
  NPD (past)

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477540102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713A INDUSTRIAL DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "65109",
            "telephone_number": "573-634-7541",
            "fax_number": "573-634-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713A INDUSTRIAL DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "65109",
            "telephone_number": "573-634-7541",
            "fax_number": "573-634-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALLATIN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST MEMBER",
        "authorized_official_telephone_number": "573-634-7541",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "000324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William K Abbott, CERTIFIED PROSTHETIS
• Amber Lynn Abeln, ANP
• Kathy Abeln, PLPC
• Access for Interpretations &Translations of Hispanic Service
• Osvaldo Acosta-Rodriguez, MD
• Kamil Patrick Adamczewski, DO
• Adams Street Place, Inc.
• Carl Adams Adams, PLPC
• Jennifer Lynn Adelman, FNP
• Rodney K Adkison, D.O.

• Occupational Therapist in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.