Southeast Rehabilitation, LLC
NPI 1588848618 · Physical Therapy Clinic/Center · Poplar Bluff, MO
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeast Rehabilitation, LLC is a Physical Therapy Clinic/Center organization in Poplar Bluff, MO (NPI 1588848618).
Provider details
- NPI number
- 1588848618
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kylee Ellsworth, Office Manager(573) 712-2280
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physical Therapist225100000X
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
18 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
Other names (DBA / former)
- Doing business as
- Poplar Bluff Rehabilitation
Registry dates
- Enumerated
- 2007-12-26
- Last updated
- 2015-07-17
Frequently asked questions
- What is Southeast Rehabilitation, LLC's NPI number?
- Southeast Rehabilitation, LLC's National Provider Identifier (NPI) is 1588848618, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Rehabilitation, LLC?
- Southeast Rehabilitation, LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southeast Rehabilitation, LLC located?
- Southeast Rehabilitation, LLC's practice location on file with NPPES is 3999 Hwy Pp, Poplar Bluff, MO 63901.
- What is Southeast Rehabilitation, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southeast Rehabilitation, LLC is (573) 712-2280.
- Does Southeast Rehabilitation, LLC accept Medicare?
- Southeast Rehabilitation, 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 Southeast Rehabilitation, LLC?
- The authorized official listed on Southeast Rehabilitation, LLC's NPPES record is Kylee Ellsworth, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Rehabilitation, LLC's NPI active?
- Yes — Southeast Rehabilitation, LLC's NPI (1588848618) is active in the NPPES registry as of the last update on 2015-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.