Organization
COLUMBIA REHAB SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA RENEE BADGEROW-WATSON MPT, OCS (OWNER)
(618) 281-0374
Entity
Organization
Contact information
Practice address
236 SOUTHWOODS CTR, COLUMBIA, IL 62236-2462
(618) 281-0374
(618) 281-0674
Mailing address
236 SOUTHWOODS CTR, COLUMBIA, IL 62236-2462
(618) 281-0374
(618) 281-0674
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06732025
BC/BS OF IL
—
01
—
13897
ESSENCE HEALTHCARE
—
01
—
205903
BC/BS OF MO
—
01
—
277645
GHP
—
05
—
355645409001
—
IL
01
—
5660579
FIRST HEALTH/CCN
—
01
—
7361646
AETNA
—
01
—
737359
HEALTHLINK
—
01
—
9419162
PHCS
—
01
—
K23120
MERCY
—
Enumeration date
06/22/2006
Last updated
08/22/2020
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