OrganizationActive
Advance Hannibal Regional Hospital, LLC
NPI 1609112754 · Physical Therapist · Bowling Green, MO
Provider details
- NPI number
- 1609112754
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Gregory Reis, Partner(217) 222-6800
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
710 Bus. Hwy 61 South
Bowling Green, MO 63334
Phone: (573) 324-6079
Fax: (573) 221-1808
Street-level locationGet directions
Mailing address
160 Progress Rd Ste 111
Hannibal, MO 63401-6630
Registry dates
- Enumerated
- 2012-12-18
- Last updated
- 2024-01-23
- Certified
- 2024-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.