REHAB OUTREACH, L.L.C. (NPI# 1295784197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295784197 |
| Entity Type | Organization |
| Organization Name | REHAB OUTREACH, L.L.C. |
| Other Organization Name | RENAISSANCE THERAPY OF COLUMBIA |
| Practice Address |
1100 Club Village Dr Suite 103 Columbia MO 65203-4409 |
| Mailing Address |
2127 Innerbelt Business Center Dr Suite 107 Saint Louis MO 63114-5700 |
| Practice Telephone | 5732562777 |
| Practice Fax Number | 5732562764 |
| Mailing Telephone | 3145068800 |
| Mailing Fax Number | 3145068880 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2008-07-22 |
| Authorized Official Name | MS. CATHERINE A. DULLE (PRESIDENT) |
| Authorized Official Telephone | 3145068800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE NPI | 1295784197 | 01 |
| Other Name | Type Code |
|---|---|
| Renaissance Therapy of Columbia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194761601 | Rehab Outreach, L.L.C. | Clinic/Center | 1011 S Madison St, Malden, MO 63863-2462 | 2006-06-22 |
| 1922057942 | Rehab Outreach, L.L.C. | Clinic/Center | 2064 Village Ln, Hermann, MO 65041-1592 | 2006-05-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | REHAB OUTREACH, LLC | 2127 Innerbelt Business Center Dr., Suite 107, St. Louis, MO 63114-5700 |
| Street Address |
1100 CLUB VILLAGE DR SUITE 103 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65203-4409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700311016 | Kelsey Webb | Physical Therapy Assistant | 1100 Club Village Dr, 103, Columbia, MO 65203-4409 | 2017-04-24 |
| 1699225896 | Katilyn Brooke Pabst | Occupational Therapy Assistant | 1100 Club Village Dr, Suite 103, Columbia, MO 65203-4409 | 2016-10-11 |
| 1144770702 | Mary Bell | Physical Therapy Assistant | 1100 Club Village Dr, Suite 103, Columbia, MO 65203-4409 | 2016-10-07 |
| 1902353584 | Linda Delp | Physical Therapy Assistant | 1100 Club Village Dr, Suite 103, Columbia, MO 65203-4409 | 2016-09-01 |
| 1417314550 | Anne Bentley | Health Educator | 1100 Club Village Dr, St 103, Columbia, MO 65203-4409 | 2016-01-20 |
| 1538532650 | Samantha Shea Lemoins | Occupational Therapy Assistant | 1100 Club Village Dr, Suite 103, Columbia, MO 65203-4409 | 2015-11-11 |
| 1245619683 | Joanna Miller | Physical Therapy Assistant | 1100 Club Village Dr, Suite 103, Columbia, MO 65203-4409 | 2015-05-19 |
| 1225421233 | Katherine Eaton | Speech-Language Pathologist | 1100 Club Village Dr, Columbia, MO 65203-4409 | 2015-03-16 |
| 1083005557 | Laura Kay Meeker | Occupational Therapy Assistant | 1100 Club Village Dr, Suite 103, Columbia, MO 65203-4409 | 2015-02-05 |
| 1922405778 | Kara Lynne Snodgrass | Occupational Therapy Assistant | 1100 Club Village Dr, Suite 103, Columbia, MO 65203-4409 | 2014-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
| 1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
| 1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
| 1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
| 1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
| Find all providers in zip 65203 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356234 | Physiotherapy Associates, Inc. | Clinic/Center | 6300 Woodside Ct Ste E, Columbia, MD 21046-3360 | 2019-06-26 |
| 1528514130 | Lexington County Health Services District, Inc. | Clinic/Center | 7035 St Andrews Road, Ste 203, Columbia, SC 29212-1177 | 2016-09-01 |
| 1346635752 | Pro Chiropractic and Performance, LLC. | Clinic/Center | 1014 Leesburg Rd, Columbia, SC 29209-2131 | 2015-04-02 |
| 1275790867 | Lutheran Senior Services | Clinic/Center | 3710 Lenoir St, Columbia, MO 65201-5463 | 2008-05-21 |
| 1801991625 | Physiotherapy Associates Inc | Clinic/Center | 8885 Centre Park Dr, Columbia, MD 21045-2199 | 2006-09-14 |
| 1093760928 | Sundance Rehabilitation Agency, Inc. | Clinic/Center | 6336 Cedar Ln, Columbia, MD 21044-3897 | 2006-05-22 |
| 1144280603 | Select Physical Therapy Holdings Inc | Clinic/Center | 200 N Keene St, Columbia, MO 65201-8102 | 2006-03-27 |
| 1154380160 | Select Physical Therapy of St Louis Limited Partnership | Clinic/Center | 1150 Columbia Ctr, Columbia, IL 62236-2559 | 2006-03-20 |
| 1679181713 | Lexington County Health Services District, Inc. | Clinic/Center | 103 Summit Centre Dr, Columbia, SC 29229-7613 | 2020-07-15 |
| 1174142699 | Columbia Vantage House Rehabilitation LLC | Clinic/Center | 5400 Vantage Point Rd, Columbia, MD 21044-2681 | 2020-04-14 |
| Find all providers in COLUMBIA | ||||
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| 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.