Organization
JAY REHABILITATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYANT V MAHURE OTR/L (CEO PRESIDENT)
(417) 438-3467
Entity
Organization
Contact information
Practice address
2610 SOUTH OZARK AVE, JOPLIN, MO 64804-3182
(417) 659-9948
(417) 659-8800
Mailing address
2610 SOUTH OZARK AVE, JOPLIN, MO 64804-3182
(417) 659-9948
(417) 659-8800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
105033
MO
225100000X
Physical Therapist
1102030
KS
225100000X
Physical Therapist
Primary
1102995
KS
225100000X
Physical Therapist
2004823996
MO
225X00000X
Occupational Therapist
004581
MO
225X00000X
Occupational Therapist
989520
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201302
BCBS
MO
01
—
A002
TRICARE
—
01
—
DD3427
MEDICARE RAILROAD
—
Enumeration date
07/14/2006
Last updated
09/11/2025
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