Advanced Sports and Rehab, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

ADVANCED SPORTS AND REHAB, LLC

Doing business as

Semo Sports and Rehabilitation Center

Practice address

1011 S Madison St
Malden, MO 63863-2462

Phone

(573) 276-4999

Fax

(573) 276-5084

NPI assigned

Oct 8, 2012

Last updated

Feb 27, 2013By 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

Mr. James Dennis Keeling, M.A., CCC-SLP

Title

Administrator

Phone

(573) 718-2699

Specialties & licenses 1

Addresses

Other names 1

• Semo Sports and Rehabilitation Center Doing business as

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.

• Subrat Mishra, OTR

  • Occupational Therapist
  • Poplar Bluff, MO
  • NPI 1184770984
  NPD
• Babita Patnaik

  • Occupational Therapist
  • Greenville, MO
  • NPI 1871628222
  NPD

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1700138377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1899 N WESTWOOD BLVD",
            "address_2": "SUITE C, PMB 113",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012833",
            "telephone_number": "573-785-3966",
            "fax_number": "573-785-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 S MADISON ST",
            "city": "MALDEN",
            "state": "MO",
            "postal_code": "638632462",
            "telephone_number": "573-276-4999",
            "fax_number": "573-276-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPORTS AND REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "KEELING",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-718-2699",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Semo Sports and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jane Anni, MD
• Aspire Senior Living Malden, LLC (Aspire Senior Living Malden)
• Anna Caitlin Batts, PHARMD
• Robyn Racquel Beckman
• Ray D Bess, OPTOMETRIST

• Rehabilitation Clinic/Center in Malden, MO
• Providers in Malden, MO by specialty
• Rehabilitation Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.