Organization Active NPI

Reliant Care Rehabilitative Services L L C

  • Physical Therapy Clinic/Center
  • Columbia, MO
National Provider Identifier
1902188287
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RELIANT CARE REHABILITATIVE SERVICES L L C
Practice address
2011 Corona Rd
Suite 301
Columbia, MO 65203-2548
Phone
(314) 543-3860
Fax
(314) 272-0343
NPI assigned
Sep 13, 2011
Last updated
Mar 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Authorized official

Name
Mr. Richard J Destefane
Title
President
Phone
(314) 543-3800

Specialties & licenses 1

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

Addresses

Primary practice location

2011 Corona Rd
Suite 301
Columbia, MO 65203-2548

Mailing address

2011 Corona Rd
Suite 301
Columbia, MO 65203-2548
Phone (314) 543-3860

National Provider Directory

National Provider Directory

Locations

2011 Corona Rd
Ste 301
Columbia, MO 65203
Phone (314) 543-3860

700 N Garth Ave
Fl 2
Columbia, MO 65203
Phone (573) 214-2009

11333 Sugar Pine Dr
Florissant, MO 63033
Phone (314) 831-3200

2200 Washington Ave
Saint Louis, MO 63103
Phone (314) 932-1449

L714 W 16TH St
Inovate Rehab WL
Sedalia, MO 65301
Phone (660) 827-1594

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1902188287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 CORONA RD",
            "address_2": "SUITE 301",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032548",
            "telephone_number": "314-543-3860",
            "fax_number": "314-272-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 CORONA RD",
            "address_2": "SUITE 301",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032548",
            "telephone_number": "314-543-3860",
            "fax_number": "314-272-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT CARE REHABILITATIVE SERVICES L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "DESTEFANE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-543-3800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.