Organization Active NPI

Rehab Enterprises,LLC

  • Physical Therapist
  • Rogersville, MO
National Provider Identifier
1982628525
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
114485 Issued in MO
Legal business name
REHAB ENTERPRISES,LLC
Practice address
1097 Indian Grove LN
Rogersville, MO 65742-7669
Phone
(417) 766-9819
NPI assigned
Jul 27, 2006
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Odilia EgbersNPI 1598789125
Title
Owner
Phone
(417) 766-9819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 114485 MO Primary

Addresses

Primary practice location

1097 Indian Grove LN
Rogersville, MO 65742-7669

Mailing address

1097 Indian Grove LN
Rogersville, MO 65742-7669

Other identifiers 1

IdentifierTypeStateIssuer
DG2952OtherMORAILROAD MEDICARE PIN

National Provider Directory

National Provider Directory

Locations

640 W Republic Rd
Ste 108
Springfield, MO 65807
Phone (417) 766-9819

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1982628525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 INDIAN GROVE LN",
            "city": "ROGERSVILLE",
            "state": "MO",
            "postal_code": "657427669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 INDIAN GROVE LN",
            "city": "ROGERSVILLE",
            "state": "MO",
            "postal_code": "657427669",
            "telephone_number": "417-766-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB ENTERPRISES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "EGBERS",
        "authorized_official_first_name": "ODILIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-766-9819"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "114485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "DG2952",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogersville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.