Healthcare Provider Details

I. General information

NPI: 1679401186
Provider Name (Legal Business Name): PARADIGM REHAB SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N WALNUT ST
DEXTER MO
63841-1748
US

IV. Provider business mailing address

300 N WALNUT ST
DEXTER MO
63841-1748
US

V. Phone/Fax

Practice location:
  • Phone: 573-614-7472
  • Fax: 833-471-3364
Mailing address:
  • Phone: 573-614-7472
  • Fax: 833-471-3364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. BEN SELLS
Title or Position: CEO
Credential:
Phone: 573-614-7472