Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Advance Physical Therapy & Sports Medicine of Lebanon, LLC

Organization Physical Therapist · NPI 1356669220

Advance Physical Therapy & Sports Medicine of Lebanon, LLC is a Physical Therapist in Lebanon, Missouri. Registered with an NPI since 2010.

In the registry since
2010
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

144 Evergreen Pkwy
Lebanon, MO 65536-0000
Phone: (217) 222-6800
Fax: (217) 222-0037
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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 number1356669220
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Reis — Partner · (217) 222-6800
NPI enumeratedMay 17, 2010
Last updated in NPPESMay 17, 2010
Mailing address144 Evergreen Parkway, Lebanon, MO 65536-0000

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