OrganizationActive
Active Rehab LLC
NPI 1477540102 · Occupational Therapist · Jefferson City, MO
Provider details
- NPI number
- 1477540102
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Cynthia Gallatin, Occupational Therapist Member(573) 634-7541
- License
- 000324 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
2713a Industrial Dr
Jefferson City, MO 65109
Phone: (573) 634-7541
Fax: (573) 634-7543
Street-level locationGet directions
Mailing address
2713a Industrial Dr
Jefferson City, MO 65109
Registry dates
- Enumerated
- 2005-09-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.