NPIMap

Organization Active NPI

Westside Rehab, Inc

  • Physical Therapy Clinic/Center
  • Laurie, MO
National Provider Identifier
1689768855
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
WESTSIDE REHAB, INC
Practice address
126 S. Main
Laurie, MO 65038-1099
Phone
(573) 374-7579
Fax
(573) 374-1399
NPI assigned
Oct 3, 2006
Last updated
Oct 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Authorized official

Name
Mrs. Tenessa Jean Rehmer
Title
Practice Manager/VP/Secretary
Phone
(573) 374-7579

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MO
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

126 S. Main
Laurie, MO 65038-1099

Mailing address

P.O. Box 1099
Laurie, MO 65038-1099
Phone (573) 374-7579

National Provider Directory

National Provider Directory

Locations

126 S Main St
Gravois Mills, MO 65037
Phone (573) 374-7579

Practitioners & affiliated clinicians

Practitioners 51

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.

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1689768855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1099",
            "city": "LAURIE",
            "state": "MO",
            "postal_code": "650381099",
            "telephone_number": "573-374-7579",
            "fax_number": "573-374-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S. MAIN",
            "city": "LAURIE",
            "state": "MO",
            "postal_code": "650381099",
            "telephone_number": "573-374-7579",
            "fax_number": "573-374-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "REHMER",
        "authorized_official_first_name": "TENESSA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRACTICE MANAGER/VP/SECRETARY",
        "authorized_official_telephone_number": "573-374-7579",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurie, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.