COLUMBIA REHAB SPECIALISTS, LLC (NPI# 1003842261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003842261 |
| Entity Type | Organization |
| Organization Name | COLUMBIA REHAB SPECIALISTS, LLC |
| Practice Address |
236 Southwoods Ctr Columbia IL 62236-2462 |
| Practice Telephone | 6182810374 |
| Practice Fax Number | 6182810674 |
| Mailing Telephone | 6182810374 |
| Mailing Fax Number | 6182810674 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | REBECCA RENEE BADGEROW-WATSON (OWNER) |
| Authorized Official Telephone | 6182810374 |
| Authorized Official Credential | MPT, OCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BC/BS OF MO | 205903 | 01 | |
| FIRST HEALTH/CCN | 5660579 | 01 | |
| PHCS | 9419162 | 01 | |
| ESSENCE HEALTHCARE | 13897 | 01 | |
| GHP | 277645 | 01 | |
| HEALTHLINK | 737359 | 01 | |
| MERCY | K23120 | 01 | |
| AETNA | 7361646 | 01 | |
| BC/BS OF IL | 06732025 | 01 | |
| IL | 355645409001 | 05 |
| Street Address |
236 SOUTHWOODS CTR |
| City | COLUMBIA |
| State | IL |
| Zip Code | 62236-2462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659558625 | Amy Michelle Brown | Physical Therapist | 236 Southwoods Ctr, Columbia, IL 62236-2462 | 2008-01-22 |
| 1699847699 | Rebecca Badgerow-watson | Physical Therapist | 236 Southwoods Ctr, Columbia, IL 62236-2462 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962937300 | Assoicated Physicians Group Ltd | Nurse Practitioner | 1011 South, Suite 3b, Columbia, IL 62236 | 2017-04-24 |
| 1316284854 | Robert Siekerka | Pharmacist | 1412 N Evergreen Ln, Columbia, IL 62236 | 2013-01-03 |
| 1972874352 | Jennifer Harlin Wilhelm | Veterinarian | 1400 Columbia Center Drive, Bellson Animal Hospital, Columbia, IL 62236 | 2012-01-18 |
| 1912275314 | Synergy Therapeutics, PC | Dentist | 1000 Eleven South, Suite 3f, Columbia, IL 62236 | 2011-12-13 |
| 1134455991 | Julie Williams | Skilled Nursing Facility | 3 Eagle Crest Court, Columbia, IL 62236 | 2009-10-28 |
| 1831311158 | Lifetime Dental Care of Illinois, PC | Dentist | 240 Southwoods Centre Drive, Columbia, IL 62236 | 2007-05-03 |
| 1730301268 | Affordable Dentistry Today, PC | Dentist | 242 Southwoods Centre Drive, Columbia, IL 62236 | 2007-05-03 |
| 1710109616 | Jason Clay King | Chiropractor | 117 West Cedar Street, Columbia, IL 62236 | 2007-05-02 |
| 1184704900 | Mitan Pediatric Therapy Inc | Occupational Therapist | 891 Meadowview Lane, Columbia, IL 62236 | 2006-10-16 |
| 1265528368 | Kathryn Ann Mager | Counselor | 9273 Coach Stop Road, Columbia, IL 62236 | 2006-10-05 |
| Find all providers in zip 62236 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821307 | My Concierge Pt LLC | Clinic/Center | 9141 Gracious End Ct Apt 104, Columbia, MD 21046-2095 | 2020-11-04 |
| 1083224877 | Silver Lining Physical Therapy & Wellness | Clinic/Center | 7050 Oakland Mills Rd Ste 130, Columbia, MD 21046-2269 | 2020-08-06 |
| 1114543089 | True Sports Physical Therapy, LLC | Clinic/Center | 9030 State Route 108 Ste B, Columbia, MD 21045-1990 | 2020-06-17 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1366007338 | Red Canyon, LLC | Clinic/Center | 5500 Knoll North Dr Ste 230, Columbia, MD 21045-2362 | 2019-05-06 |
| 1861964728 | Forever Fit Physical Therapy & Wellness LLC | Clinic/Center | 9881 Broken Land Pkwy Ste 103, Columbia, MD 21046-3013 | 2018-12-17 |
| 1780181305 | Glackin Physiotherapy, LLC | Clinic/Center | 9159 Red Branch Rd Ste F, Columbia, MD 21045-2041 | 2018-04-10 |
| 1063938108 | Limitless Physiotherapy, LLC | Clinic/Center | 9192 Red Branch Rd Ste 120, Columbia, MD 21045-2053 | 2017-08-21 |
| 1659802791 | Kelsey Marie Okruch | Clinic/Center | 6607 Chrissula Ln, Columbia, MO 65203-6613 | 2017-03-21 |
| 1245693399 | Women's Health Pt of Central Md LLC | Clinic/Center | 7130 Minstrel Way Ste Ll110, Columbia, MD 21045-5261 | 2016-04-05 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on COLUMBIA REHAB SPECIALISTS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.