MID AMERICA REHAB, P.C. (NPI# 1639143357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639143357 |
| Entity Type | Organization |
| Organization Name | MID AMERICA REHAB, P.C. |
| Practice Address |
3047 William St Cape Girardeau MO 63703-6393 |
| Mailing Address |
Po Box 842 Cape Girardeau MO 63702-0842 |
| Practice Telephone | 5733395989 |
| Practice Fax Number | 5733397092 |
| Mailing Telephone | 5733395989 |
| Mailing Fax Number | 5733397092 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2011-06-16 |
| Authorized Official Name | MR. ROBERT WAYNE SHERRILL (OWNER) |
| Authorized Official Telephone | 5733395989 |
| Authorized Official Credential | PT,CHT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 2251H1200X |
Physical Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | HEALTHLINK | 326581 | 01 |
| MO | BLUE CROSS | 31376 | 01 |
| MO | 578069601 | 05 |
| Street Address |
3047 WILLIAM ST |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-6393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922647866 | Melinna Christine Craft | Physical Therapist | 3047 William St, Cape Girardeau, MO 63703-6393 | 2019-12-23 |
| 1396158572 | Jerimy Obergoenner | Physical Therapy Assistant | 3047 William St, Suite 100, Cape Girardeau, MO 63703-6393 | 2014-06-05 |
| 1205108289 | Brittany Danielle Williams | Physical Therapy Assistant | 3047 William St, Suite 100, Cape Girardeau, MO 63703-6393 | 2012-02-06 |
| 1740511716 | Jason Wayne Moore | Specialist/Technologist | 3047 William St, Suite 100, Cape Girardeau, MO 63703-6393 | 2010-01-14 |
| 1720106644 | Charlene Rottler | Occupational Therapy Assistant | 3047 William St, Cape Girardeau, MO 63703-6393 | 2007-03-27 |
| 1467586677 | Kirt Michael Burger | Physical Therapist | 3047 William St, Cape Girardeau, MO 63703 | 2007-03-16 |
| 1962535054 | Matthew Wayne Holder | Specialist/Technologist | 3047 William St, Cape Girardeau, MO 63703-6393 | 2007-03-14 |
| 1073646170 | Robert Wayne Sherrill | Physical Therapist | 3047 William St, Cape Girardeau, MO 63703-6393 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467949040 | Prorehab PC | Physical Therapist | 2136 William St Ste 115, Cape Girardeau, MO 63703-5830 | 2018-04-18 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891119400 | Beth Ringwald | Physical Therapist | 3905 Carolewood Dr, Cape Girardeau, MO 63701-2161 | 2014-02-18 |
| 1578820205 | Kathleen A Biri | Physical Therapist | 1405 N Mt Auburn Rd, Cape Girardeau, MO 63701-9998 | 2012-04-19 |
| 1700187564 | Elizabeth B Clark | Physical Therapist | 155 Siemers Dr Ste 8, Cape Girardeau, MO 63701-4910 | 2010-11-10 |
| 1609191287 | Ryan Williams Livesay | Physical Therapist | 1405 N Mount Auburn Rd, Cape Girardeau, MO 63701-2171 | 2010-04-07 |
| 1659561355 | Shawn Aaron Downs | Physical Therapist | 107 Bristle Rdg, Cape Girardeau, MO 63701-8965 | 2007-07-28 |
| 1245457241 | Robert Schremp | Physical Therapist | 150 S. Mount Auburn Road, Cape Girardeau, MO 63775 | 2007-04-19 |
| 1013039585 | Tonya Beth Rinda | Physical Therapist | 61 N Lake Dr, Cape Girardeau, MO 63701-9617 | 2007-04-04 |
| 1124152442 | Matthew Scott Rubel | Physical Therapist | 3047 William St., Cape Girardeau, MO 63703 | 2007-03-16 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
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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.