POPLAR BLUFF REHABILITATION
NPI 1588848618
Clinic/Center - Physical Therapy in Poplar Bluff, MO

NPI Status: Active since December 26, 2007

Contact Information

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

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  • Organization
  • Clinic/Center
  • Physical Therapy

About POPLAR BLUFF REHABILITATION

This page provides the complete NPI Profile along with additional information for Poplar Bluff Rehabilitation, a provider established in Poplar Bluff, Missouri operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1588848618 assigned on December 2007. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Poplar Bluff Rehabilitation operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Poplar Bluff Rehabilitation. The authorized official of this NPI record is Kylee Ellsworth (Office Manager)

NPI
1588848618
Provider Legal Name
SOUTHEAST REHABILITATION, LLC
Other Organization Name
POPLAR BLUFF REHABILITATION
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3999 HWY PP SUITE 2 POPLAR BLUFF, MO 63901
Location Phone
(573) 712-2280
Location Fax
(573) 778-9589
Mailing Address
PO BOX 3 POPLAR BLUFF, MO 63902
Mailing Phone
(573) 712-2280
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-26-2007
Last Update Date
07-17-2015
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According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is for profit and was certified on 01-01-1993 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KYLEE ELLSWORTH

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(573) 712-2280

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000015661MEDICARE PIN (08)MO 

Inpatient Rehabilitation Information

The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.

  • POPLAR BLUFF REHABILITATION has an ownership type of For profit
  • The facility received it's medicare certification date on 01-01-1993
Rehabilitation facility number of episodes of treated medical conditions.
Medical Condition Times Conditions Treated
All other conditions71
Brain disease or condition (non-traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Brain injury (traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Hip or femur fracture59
Hip or knee replacement, amputation or other bone or joint condition33
Nervous system disorder (excluding stroke)Less than 11 - The number of cases/patient stays is too small to report.
Spinal cord disease or condition (non-traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Spinal cord injury (traumatic)Not Available - Data not available for this reporting period.
Stroke43

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1588848618, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 8 → 16 → 7 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 6 + 8 + 1 + 6 + 4 + 1 + 6 + 6 + 2 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1588848618.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588848618, enumerated as an "organization" on December 26, 2007.

The provider is located at 3999 HWY PP SUITE 2 POPLAR BLUFF, MO 63901 and the phone number is (573) 712-2280.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.