Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Advance Hannibal Regional Hospital LLC

Organization Physical Therapist · NPI 1104684703

Advance Hannibal Regional Hospital LLC provides Physical Therapist services in Palmyra, Missouri. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1811 S Main St
Palmyra, MO 63461-1961
Phone: (573) 773-3488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1104684703
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAdvance Hannibal Regional Hospital LLC
Authorized official Gregory Reis — Partner · (217) 222-6800
NPI enumeratedMarch 8, 2024
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
Mailing address160 Progress Rd Ste 111, Hannibal, MO 63401-6630

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