Advance Hannibal Regional Hospital LLC
NPI 1104684703 · Physical Therapist · Palmyra, MO
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advance Hannibal Regional Hospital LLC is a Physical Therapist organization in Palmyra, MO (NPI 1104684703).
Provider details
- NPI number
- 1104684703
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Parent organization
- Advance Hannibal Regional Hospital LLC
- Organization subpart
- Yes
- Authorized official
- Gregory Reis, Partner(217) 222-6800
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-03-08
- Last updated
- 2025-07-31
- Certified
- 2025-07-31
Frequently asked questions
- What is Advance Hannibal Regional Hospital LLC's NPI number?
- Advance Hannibal Regional Hospital LLC's National Provider Identifier (NPI) is 1104684703, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advance Hannibal Regional Hospital LLC?
- Advance Hannibal Regional Hospital LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Advance Hannibal Regional Hospital LLC located?
- Advance Hannibal Regional Hospital LLC's practice location on file with NPPES is 1811 S Main St, Palmyra, MO 63461-1961.
- What is Advance Hannibal Regional Hospital LLC's phone number?
- The practice phone number listed in the NPPES registry for Advance Hannibal Regional Hospital LLC is (573) 773-3488.
- Does Advance Hannibal Regional Hospital LLC accept Medicare?
- Advance Hannibal Regional Hospital LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Advance Hannibal Regional Hospital LLC?
- The authorized official listed on Advance Hannibal Regional Hospital LLC's NPPES record is Gregory Reis, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advance Hannibal Regional Hospital LLC's NPI active?
- Yes — Advance Hannibal Regional Hospital LLC's NPI (1104684703) is active in the NPPES registry as of the last update on 2025-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.