SOUTHEAST REHABILITATION LLC NPI 1588848618

NPI Information

  • NPI: 1588848618
  • Provider Name: SOUTHEAST REHABILITATION, LLC
  • Classification: Clinic/Center - 261QP2000X
  • Specialization: Physical Therapy
  • Entity Type: Organization
  • Doing Business As: POPLAR BLUFF REHABILITATION
  • Address: 3999 HWY PP
    SUITE 2
    POPLAR BLUFF, MO
    ZIP 63901
  • Phone: (573) 712-2280

Map and Directions

Get Directions

NPI Details

SOUTHEAST REHABILITATION, LLC is a physical therapy clinic center in Poplar Bluff, MO. The provider is an entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. SOUTHEAST REHABILITATION, LLC NPI is 1588848618. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Poplar Bluff Rehabilitation.

The provider's business location address is:

3999 HWY PP
SUITE 2
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 712-2280
Fax: (573) 778-9589

The provider's authorized official is Kylee Ellsworth .
The authorized official title is Office Manager and has the following contact phone number (573) 712-2280.

The enumeration date for this NPI number is 12/26/2007 and was last updated on 7/17/2015.

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
1225100000XPhysical TherapistNo
2261QP2000XClinic/CenterPhysical TherapyYes

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
1000015661MEDICARE PINMISSOURI

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI