Rehab Missouri, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

REHAB MISSOURI, LLC

Doing business as

Novacare Rehabilitation

Practice address

2086 Vadalabene Dr.
Maryville, IL 62062-5631

Phone

(618) 288-7150

Fax

(618) 288-7160

NPI assigned

Jan 4, 2008

Last updated

Nov 20, 2018By 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

Michael E. Tarvin

Title

Vice President and Secretary

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

Other names 1

• Novacare Rehabilitation Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Rehab Associates, LLC

  dba Champion Sports Medicine & Rehabilitation Center - Calera

  • Physical Therapy Clinic/Center
  • Calera, AL
  • NPI 1144522319

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1689859969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2086 VADALABENE DR.",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625631",
            "telephone_number": "618-288-7150",
            "fax_number": "618-288-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB MISSOURI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novacare Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novacare Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcy Atia Rak, SPEECH LANGUAGE PATH
• Alexandria Rantanen
• Anne Rappaport, L.C.P.C., C.R.C.
• Rebecca Ratermann, LCPC
• Sophia Elizabeth Rawlings, MSW
• Rehabcare Group East, Inc.
• Katherine N Rehg, MA
• Bryan W Reid, D.C.
• Amanda Marie Reilson, RD, LDN
• Corinne S Reinholz, PA

• Rehabilitation Clinic/Center in Maryville, IL
• Providers in Maryville, IL by specialty
• Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.