Organization Active NPI

Rehabcare Group East LLC

Doing business as RehabCare

  • Rehabilitation Clinic/Center
  • Jefferson City, MO
National Provider Identifier
1972020394
Registry record updated Oct 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
REHABCARE GROUP EAST LLC
Doing business as
RehabCare
Practice address
1214 Freedom Blvd
Jefferson City, MO 65109-0082
Phone
(573) 658-0089
Fax
(847) 386-5196
NPI assigned
Aug 25, 2017
Last updated
Oct 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2026

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

Authorized official

Name
Ms. Anna Gardina
Title
Chief Executive Officer
Phone
(847) 441-5593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1214 Freedom Blvd
Jefferson City, MO 65109-0082

Mailing address

2600 Compass Rd
Glenview, IL 60026-8001
Phone (847) 441-5593

Other names 1

  • RehabCare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171003005141 MO Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0042128894 Practice locations: Jefferson City, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972020394. Details of each certification follow.

  • CCN 266676 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 266676

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
REHABCARE
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
May 29, 2018
Last certification
Mar 20, 2024
Ownership / control type
Proprietary
Facility address
1214 Freedom Boulevard
Jefferson City, MO 65109

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Rehabcare Group Inc63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 3

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792195200000",
    "number": "1972020394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 COMPASS RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268001",
            "telephone_number": "847-441-5593",
            "fax_number": "847-386-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 FREEDOM BLVD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651090082",
            "telephone_number": "573-658-0089",
            "fax_number": "847-386-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABCARE GROUP EAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2026-10-17",
        "certification_date": "2026-10-17",
        "status": "A",
        "authorized_official_last_name": "GARDINA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "847-441-5593",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RehabCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.