ABBAMARK REHABILITATION, LLC (NPI# 1063481711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063481711 |
Entity Type | Organization |
Organization Name | ABBAMARK REHABILITATION, LLC |
Practice Address |
18905 E 33rd Street Ct S Independence MO 64057-3336 |
Practice Telephone | 8165890100 |
Mailing Telephone | 8165890100 |
Enumeration Date | 2006-03-15 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. FREDERICK C. WILSON (PRESIDENT) |
Authorized Official Telephone | 8165890100 |
Authorized Official Credential | PT ATC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
Street Address |
18905 E 33RD STREET CT S |
City | INDEPENDENCE |
State | MO |
Zip Code | 64057-3336 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558330886 | Frederick Charles Wilson | Physical Therapist | 18905 E 33rd Street Ct S, Independence, MO 64057-3336 | 2006-03-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
Find all providers in zip 64057 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477059517 | Occupational Health Centers of Kansas Pa | Clinic/Center | 19000 E Eastland Center Ct Ste 200, Independence, MO 64055-7023 | 2018-04-05 |
1891184958 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 19310 East 50th Terrace, Suite D, Independence, MO 64055-5564 | 2015-01-13 |
1558497388 | Occupational Health Centers of The Southwest, P.a., P.s.c. | Clinic/Center | 10110 Toebben Drive, Enterprise V Park, Independence, KY 41051 | 2007-02-26 |
1073674966 | Virginia Highlands Orthopaedic Spine Center, LLC | Clinic/Center | 304 Davis Street, Independence, VA 24348 | 2006-12-13 |
1457734717 | Serc Rehabilitation Partners LLC | Clinic/Center | 108 W Maple Ave, Independence, MO 64050-2814 | 2015-07-06 |
1073949616 | Bionic Physical Therapy and Sports Performance, LLC | Clinic/Center | 3800 S Elizabeth St, Suite G, Independence, MO 64057-2650 | 2013-09-15 |
1245419019 | Advanced Physical Therapy and Sports Rehabilitation, P.a. | Clinic/Center | 3720 Arrowhead Ave, Suite 201, Independence, MO 64057-2680 | 2007-10-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417563479 | Lydia Kay Blondin | Clinic/Center | 24158 Tanglewood Rd, Saint Robert, MO 65584-3815 | 2020-09-16 |
1275146474 | Beyond Recovery Physical Therapy, LLC | Clinic/Center | 2627 E Horning St, Springfield, MO 65802-2372 | 2020-08-26 |
1144839887 | Atr Justin LLC | Clinic/Center | 15882 Clayton Rd, Ellisville, MO 63011-2212 | 2020-07-29 |
1043836588 | Martin Ventures LLC | Clinic/Center | 3119 S Scenic Ave Ste B, Springfield, MO 65807-3965 | 2020-06-21 |
1659996585 | Suellen Caroline Cruz Johnson | Clinic/Center | 1120 E 77th Ter, Kansas City, MO 64131-1939 | 2020-06-16 |
1790252948 | Mercy Hospital Springfield | Clinic/Center | 448 Hwy 248 Ste 130, Branson, MO 65616-3725 | 2018-10-25 |
1326541475 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 1 Pratt Pl, Florissant, MO 63031-6557 | 2018-03-15 |
1053820175 | Prorehab PC | Clinic/Center | 11525 Olde Cabin Rd Ste 1, Saint Louis, MO 63141-7146 | 2017-09-20 |
1629590955 | Judice Consulting LLC | Clinic/Center | 700 Shallowcreek Vw, Ballwin, MO 63021-6618 | 2017-07-07 |
1407389349 | Mindful Pilates and Wellness, LLC | Clinic/Center | 407 Summit Ave, Webster Groves, MO 63119-2638 | 2017-04-07 |
Find all providers with the same taxonomy |
City | INDEPENDENCE |
Zip Code | 64057 |
Please comment or provide details below to improve the information on ABBAMARK REHABILITATION, 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.