Organization Active NPI

Alliance Rehab & Medical Equipment

  • Customized Equipment (DME)
  • Ozark, MO
National Provider Identifier
1609976893
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
ALLIANCE REHAB & MEDICAL EQUIPMENT
Practice address
2205 Petrus Circle
Ozark, MO 65721-9206
Phone
(417) 581-5747
Fax
(417) 581-5762
NPI assigned
Sep 25, 2006
Last updated
Dec 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Mr. James Michael Osborn, CRTS, ATS
Title
Co-Owner of LLC
Phone
(417) 581-5747

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

2205 Petrus Circle
Ozark, MO 65721-9206

Mailing address

2205 Petrus Circle
Ozark, MO 65721-9206
Phone (417) 581-5747

Other identifiers 1

IdentifierTypeStateIssuer
626265607MedicaidMO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Alliance Rehab & Medical2205 Petrus Cir, Ozark, MO 65721-5739(417) 581-5747 Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelch… Does not accept assignmentParticipating since Oct 6, 2006

National Provider Directory

National Provider Directory

Locations

9808 Pflumm Rd
Lenexa, KS 66215

2205 Petrus Cir
Ozark, MO 65721
Phone (417) 581-5747

3544 N Westwood Blvd
Ste B
Poplar Bluff, MO 63901
Phone (573) 727-9458

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1609976893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 PETRUS CIRCLE",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657219206",
            "telephone_number": "417-581-5747",
            "fax_number": "417-581-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 PETRUS CIRCLE",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657219206",
            "telephone_number": "417-581-5747",
            "fax_number": "417-581-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE REHAB & MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CO-OWNER OF LLC",
        "authorized_official_telephone_number": "417-581-5747",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRTS, ATS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626265607",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.