Active Rehab LLC
Organization Active NPI Occupational Therapist · Jefferson City, MO
NPI 1477540102 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1477540102
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 000324 (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
- Organization subpart
- No
Authorized official
- Name
- Cynthia Louise Gallatin, OTR
- Title
- Occupational Therapist Member
- Phone
- (573) 634-7541
Practitioners 1
-
Bridget P. Early, M.D.
National Provider Directory
Locations
319 Pioneer Trail Dr
Jefferson City, MO 65109
Phone (573) 636-5300
901 W High St
Jefferson Cty, MO 65109
Phone (573) 634-7541
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | 000324 | MO | Yes |
Addresses
Primary practice location
2713A Industrial Dr
Jefferson City, MO 65109
Mailing address
2713A Industrial Dr
Jefferson City, MO 65109
Phone (573) 634-7541
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2062395 | Other | MO | FIRST HEALTH |
| 611850 | Other | MO | HEALTH LINK |
Other providers in Jefferson City, MO
- William K Abbott
- Amber Lynn Abeln
- Kathy Abeln
- Access for Interpretations &Translations of Hispanic Service
- Osvaldo Acosta-Rodriguez
- Kamil Patrick Adamczewski
- Adams Street Place, Inc.
- Carl Adams Adams
- Jennifer Lynn Adelman
- Rodney K Adkison
All providers in Jefferson City, MO · Occupational Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.