MEDICARE: ONSITE REHABILITATION, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	107424	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528010626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONSITE REHABILITATION, PC

Provider Business Mailing Address
First Line	:	1037 PALISADES BLVD STE 6
Second Line	:
City	:	OSAGE BEACH
State	:	MO
Zip	:	65065-3527
Country	:	US
Telephone Number	:	573-302-4446
Fax Number	:	573-302-4447

Provider Business Practice Location Address
First Line	:	1037 PALISADES BLVD STE 6
Second Line	:
City	:	OSAGE BEACH
State	:	MO
Zip	:	65065-3527
Country	:	US
Telephone Number	:	573-302-4446
Fax Number	:	573-302-4447

Authorized Official
Title or Position	:	OFFICE MANAGER, SECRETARY
Name	:	MRS. AMY CARSON
Credential	:
Telephone Number	:	573-302-4446

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	07/05/2023

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Directions to “ONSITE REHABILITATION, PC ” Practice Location

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