Advance Hannibal Regional Hospital LLC
NPI 1104684703ActiveOrganization· Physical Therapist· Palmyra, MO
Physical Therapist in Palmyra, Missouri, registered in NPPES in March 2024, part of Advance Hannibal Regional Hospital LLC. The authorized official on file is Gregory Reis, Partner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1104684703 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Advance Hannibal Regional Hospital LLC |
| NPI issued | Mar 8, 2024 |
| Last updated in NPPES | Jul 31, 2025 |
| Certified by provider | Jul 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (MO) |
|---|
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