Organization
MID AMERICA REHAB, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT WAYNE SHERRILL PT,CHT (OWNER)
(573) 339-5989
Entity
Organization
Contact information
Practice address
3047 WILLIAM ST, CAPE GIRARDEAU, MO 63703-6393
(573) 339-5989
(573) 339-7092
Mailing address
3047 WILLIAM ST STE 100, CAPE GIRARDEAU, MO 63703-6569
(573) 339-5989
(573) 339-7092
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251H1200X
Hand Physical Therapist
—
—
2255A2300X
Athletic Trainer
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31376
BLUE CROSS
MO
01
—
326581
HEALTHLINK
MO
05
—
578069601
—
MO
Enumeration date
02/17/2006
Last updated
12/09/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up