WESTSIDE REHAB, INC — NPI 1689768855 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in LAURIE, MO)

CMS-1500 Box 24J / 33a • NPI

1689768855

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QP2000X (CMS 70)

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

126 S. MAIN, LAURIE, MO, 65038-1099

✓ 9-Digit EDI 837 ZIP+4 (65038-1099)

Practice Phone & Referral Fax

(573) 374-7579

Fax: (573) 374-1399

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1689768855 (WESTSIDE REHAB, INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1689768855` (NPI-2 Organization / Facility)
Provider / Legal Name	WESTSIDE REHAB, INC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QP2000X` (Clinic/Center, Physical Therapy)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	126 S. MAIN, LAURIE, MO, 65038-1099
Practice Telephone / Fax	Tel: (573) 374-7579 \| Fax: (573) 374-1399
Administrative Mailing Address	P.O. BOX 1099, LAURIE, MO, 65038-1099
Enumeration & Last Sync	Enumerated: 2006-10-03 \| CMS Record Updated: 2011-10-28
Authorized Official	TENESSA REHMER (Practice Manager/VP/Secretary)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

126 S. MAIN, LAURIE, MO, 65038-1099

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Plain-English Taxonomy & CMS Crosswalk (261QP2000X)

What Does Taxonomy Code 261QP2000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QP2000X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 70 (Clinic or Group Practice)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (WESTSIDE REHAB, INC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QP2000X` — Clinic/Center, Physical Therapy Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: MO \| License: `Verified` \| Primary: Secondary
`261QP2000X` — Clinic/Center, Physical Therapy Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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WESTSIDE REHAB, INC (NPI #1689768855)