ADVANCE HANNIBAL REGIONAL HOSPITAL LLC
NPI 1104684703
Physical Therapist in Palmyra, MO

Active since March 08, 2024
1811 S MAIN ST, PALMYRA, MO 63461(573) 773-3488 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Advance Hannibal Regional Hospital Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCE HANNIBAL REGIONAL HOSPITAL LLC (NPI 1104684703) is a healthcare organization registered as a physical therapist in Palmyra, Missouri and active in the NPI registry since March 2024. The organization lists Gregory Reis, Partner, as its authorized official.

NPPES Registry Identity

NPI1104684703
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameADVANCE HANNIBAL REGIONAL HOSPITAL LLC
Location Address1811 S MAIN STPalmyra, MO 63461-1961
Mailing Address160 Progress Rd Ste 111Hannibal, MO 63401-6630
Organization SubpartYes
Authorized OfficialGregory ReisPartner · (217) 222-6800
Enumeration DateMarch 8, 2024
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1104684703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1811 S MAIN ST, Palmyra, MO 63461

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advance Hannibal Regional Hospital Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

31

Medicare enrollment records show 31 clinicians reassign Medicare billing to Advance Hannibal Regional Hospital LLC, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Physical Therapist in Private Practice23
Occupational Therapist in Private Practice8

Nearest to this location (20)

See all 31
Physical Therapist in Private Practice
NPI 1063648798
1219 S MAIN ST # 208
Palmyra, MO 63461
(573) 769-6166
✔ Accepts Medicare0.5 mi
Physical Therapist in Private Practice
NPI 1346086717
188A MEDICAL DR
Hannibal, MO 63401
(573) 406-0576
✔ Accepts Medicare4.7 mi
Physical Therapist in Private Practice
NPI 1306581806
188A MEDICAL DR
Hannibal, MO 63401
(217) 222-6800
✔ Accepts Medicare4.7 mi
Physical Therapist in Private Practice
NPI 1093573198
188A MEDICAL DR
Hannibal, MO 63401
(573) 406-0576
✔ Accepts Medicare4.7 mi
Occupational Therapist in Private Practice
NPI 1558963900
188A MEDICAL DR
Hannibal, MO 63401
(217) 222-6800
✔ Accepts Medicare4.7 mi
Physical Therapist in Private Practice
NPI 1063965390
188A MEDICAL DR
Hannibal, MO 63401
(573) 406-0576
✔ Accepts Medicare6.6 mi
Physical Therapist in Private Practice
NPI 1104136027
188A MEDICAL DR
Hannibal, MO 63401
(573) 406-0576
✔ Accepts Medicare6.6 mi
Occupational Therapist in Private Practice
NPI 1528985561
188A MEDICAL DR
Hannibal, MO 63401
(573) 406-0576
6.6 mi
Physical Therapist in Private Practice
NPI 1578577201
3652 STARDUST DR
Hannibal, MO 63401
(573) 221-8800
✔ Accepts Medicare7.7 mi
Physical Therapist in Private Practice
NPI 1275767246
3652 STARDUST DR
Hannibal, MO 63401
(573) 221-8800
✔ Accepts Medicare7.7 mi
Physical Therapist in Private Practice
NPI 1285813014
5 STATE AND 8TH PLZ
Quincy, IL 62301
(217) 224-1750
✔ Accepts Medicare12 mi
Physical Therapist in Private Practice
NPI 1952374548
1025 MAINE ST
Quincy, IL 62301
(217) 222-6550
12 mi
Physical Therapist in Private Practice
NPI 1871066746
1118 HAMPSHIRE ST
Quincy, IL 62301
(217) 222-6550
✔ Accepts Medicare12 mi
Occupational Therapist in Private Practice
NPI 1760006126
927 BROADWAY ST STE 100
Quincy, IL 62301
(217) 222-9300
✔ Accepts Medicare12 mi
Occupational Therapist in Private Practice
NPI 1982930863
3032 BROADWAY ST
Quincy, IL 62301
(217) 222-6800
✔ Accepts Medicare13 mi
Physical Therapist in Private Practice
NPI 1144230111
3032 BROADWAY ST
Quincy, IL 62301
(217) 222-6800
✔ Accepts Medicare13 mi
Physical Therapist in Private Practice
NPI 1972891158
3032 BROADWAY
Quincy, IL 62301
(217) 222-6800
✔ Accepts Medicare13 mi
Physical Therapist in Private Practice
NPI 1306331673
4800 MAINE ST STE 48-100
Quincy, IL 62305
(217) 222-6800
14 mi
Occupational Therapist in Private Practice
NPI 1013580877
319 S 48TH ST
Quincy, IL 62305
(217) 275-2380
✔ Accepts Medicare14 mi
Physical Therapist in Private Practice
NPI 1790835221
710 S BUSINESS 61
Bowling Green, MO 63334
(573) 324-6079
✔ Accepts Medicare34 mi
See all 31 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advance Hannibal Regional Hospital LLC's NPI number?

The NPI number for Advance Hannibal Regional Hospital LLC is 1104684703. It was assigned to this organization in the NPPES registry on March 8, 2024.

Where is Advance Hannibal Regional Hospital LLC located?

Advance Hannibal Regional Hospital LLC is located at 1811 S Main St, Palmyra, MO 63461. The listed phone number is (573) 773-3488.

What is Advance Hannibal Regional Hospital LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Advance Hannibal Regional Hospital LLC enrolled in Medicare?

Yes. Advance Hannibal Regional Hospital LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advance Hannibal Regional Hospital LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 2 Medicare specialties reassign their Medicare billing to Advance Hannibal Regional Hospital LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (23) and Occupational Therapist in Private Practice (8). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advance Hannibal Regional Hospital LLC was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.