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SEMO SPORTS AND REHABILITATION CENTER
NPI 1700138377
Clinic/Center - Rehabilitation in Malden, MO

Active since October 08, 2012
1011 S MADISON ST, MALDEN, MO 63863(573) 276-4999(573) 276-5084 Get Directions Write a Review

NPPES record last updated: February 27, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Semo Sports And Rehabilitation Center NPPES

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

SEMO SPORTS AND REHABILITATION CENTER (NPI 1700138377) is a healthcare organization registered as a rehabilitation in Malden, Missouri and active in the NPI registry since October 2012. The organization lists James Dennis Keeling, Administrator, as its authorized official.

NPPES Registry Identity

NPI1700138377
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameADVANCED SPORTS AND REHAB, LLC
Location Address1011 S MADISON STMalden, MO 63863-2462
Mailing Address1899 N Westwood Blvd, Suite C, Pmb 113Poplar Bluff, MO 63901-2833 · (573) 785-3966 · Fax (573) 785-3966
Phone(573) 276-4999
Fax(573) 276-5084
Organization SubpartNo
Authorized OfficialJames Dennis KeelingAdministrator · (573) 718-2699
Enumeration DateOctober 8, 2012
Last NPPES UpdateFebruary 27, 2013
✔ NPI 1700138377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
1011 S MADISON ST, Malden, MO 63863
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Other Names 1

Doing Business AsSemo Sports And Rehabilitation Center

Other Identifiers 1

Medicare OSCAR/certification266628MO

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REHAB OUTREACH, L.L.C.
Clinic/Center (Rehabilitation)
1011 S MADISON ST
MALDEN, MO 63863
Dunklin County (573) 276-4999

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 Advanced Sports And Rehab, LLC's NPI number?

The NPI number for Advanced Sports And Rehab, LLC is 1700138377. It was assigned to this organization in the NPPES registry on October 8, 2012. The provider is doing business as Semo Sports And Rehabilitation Center.

Where is Advanced Sports And Rehab, LLC located?

Advanced Sports And Rehab, LLC is located at 1011 S Madison St, Malden, MO 63863. The listed phone number is (573) 276-4999.

What is Advanced Sports And Rehab, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Advanced Sports And Rehab, LLC was last updated on February 27, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.