SOUTHEAST REHABILITATION, LLC


Address: 3999 Hwy Pp, Suite 2, Poplar Bluff, MO 63901
Phone: 5737122280

SOUTHEAST REHABILITATION, LLC (NPI# 1588848618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588848618
Entity Type Organization
Organization Name SOUTHEAST REHABILITATION, LLC
Other Organization Name POPLAR BLUFF REHABILITATION
Practice Address 3999 Hwy Pp
Suite 2
Poplar Bluff
MO 63901
Mailing Address Po Box 3
Poplar Bluff
MO 63902-0003
Practice Telephone 5737122280
Practice Fax Number 5737789589
Mailing Telephone 5737122280
Enumeration Date 2007-12-26
Last Update Date 2015-07-17
Authorized Official Name KYLEE ELLSWORTH (OFFICE MANAGER)
Authorized Official Telephone 5737122280
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Poplar Bluff Rehabilitation Doing Business As Name - Organization

Office Location

Street Address 3999 HWY PP
SUITE 2
City POPLAR BLUFF
State MO
Zip Code 63901

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1780195966 Midwest Equipment Srv Systems LLC Technician, Pathology 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 2017-10-16
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1699136275 Donja Kirkland Recreation Therapist 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 2016-03-10
1760866867 Bio-medical Applications of Missouri, Inc. Clinic/Center 3050 Tucker Road, Poplar Bluff, MO 63901 2015-07-17
1407246390 Lisa Marie Payne Physical Therapist 4358c Highway Pp, Poplar Bluff, MO 63901 2015-01-29
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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053821322 Ozark Physical Medicine Center for Operations Ozark Plaza and Medical Clinic/Center 2725 N Westwood Blvd Ste 17, Poplar Bluff, MO 63901-2367 2017-10-02

Providers in the same taxonomy and state

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
1477059517 Occupational Health Centers of Kansas Pa Clinic/Center 19000 E Eastland Center Ct Ste 200, Independence, MO 64055-7023 2018-04-05
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
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Competitor

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City POPLAR BLUFF
Zip Code 63901

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Dataset Information

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.

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