REHAB OUTREACH L.L.C. NPI 1295784197

NPI Information

  • NPI: 1295784197
  • Provider Name: REHAB OUTREACH, L.L.C.
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Doing Business As: RENAISSANCE THERAPY OF COLUMBIA
  • Address: 1100 CLUB VILLAGE DR
    SUITE 103
    COLUMBIA, MO
    ZIP 65203
  • Phone: (573) 256-2777

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NPI Details

REHAB OUTREACH, L.L.C. is a rehabilitation clinic center in Columbia, MO. REHAB OUTREACH, L.L.C. NPI is 1295784197. The provider is registered as an organization entity type.
The provider Is Doing Business As Renaissance Therapy Of Columbia.

The provider's business location address is:

1100 CLUB VILLAGE DR
SUITE 103
COLUMBIA, MO
ZIP 65203-409
Phone: (573) 256-2777
Fax: (573) 256-2764

The provider's authorized official is Catherine A. Dulle .
The authorized official title is President and has the following contact phone number (314) 506-8800.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 7/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11295784197OTHERMISSOURIMEDICARE NPI
2OTH000MEDICARE UPIN
3266655MEDICARE OSCAR/CERTIFICATIONMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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