PARAGON REHAB, LLC (NPI# 1124317060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124317060 |
| Entity Type | Organization |
| Organization Name | PARAGON REHAB, LLC |
| Practice Address |
323 Industrial Park Liberty MS 39645-8069 |
| Mailing Address |
323 Industrial Park Dr Liberty MS 39645 |
| Practice Telephone | 6016571000 |
| Practice Fax Number | 6016579121 |
| Mailing Telephone | 6016571000 |
| Mailing Fax Number | 6016579121 |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |
| Authorized Official Name | SALLY MCCOY (ADMINISTRATOR) |
| Authorized Official Telephone | 6016571000 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLC OF LIBERTY, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT1197 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00230121 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790074631 | Paragon Rehab, LLC | Physical Therapy Assistant | 323 Industrial Park, Liberty, MS 39645-8069 | 2011-03-31 |
| 1306145958 | Paragon Rehab, LLC | Physical Therapist | 323 Industrial Park, Liberty, MS 39645-8069 | 2011-03-22 |
| Street Address |
323 INDUSTRIAL PARK |
| City | LIBERTY |
| State | MS |
| Zip Code | 39645-8069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912997685 | Clc of Liberty, LLC | Skilled Nursing Facility | 323 Industrial Park, Liberty, MS 39645-8069 | 2005-10-25 |
| 1790074631 | Paragon Rehab, LLC | Physical Therapy Assistant | 323 Industrial Park, Liberty, MS 39645-8069 | 2011-03-31 |
| 1083913651 | Melissa Glass | Occupational Therapist | 323 Industrial Park, Liberty, MS 39645-8069 | 2011-03-22 |
| 1306145958 | Paragon Rehab, LLC | Physical Therapist | 323 Industrial Park, Liberty, MS 39645-8069 | 2011-03-22 |
| 1184923757 | Caroline Mckowen | Speech-Language Pathologist | 323 Industrial Park, Liberty, MS 39645-8069 | 2011-03-22 |
| 1285933853 | Darcy Mccoy | Physical Therapist | 323 Industrial Park, Liberty, MS 39645-8069 | 2011-03-22 |
| 1255668042 | Elissa Jones | Physical Therapist | 323 Industrial Park, Liberty, MS 39645-8069 | 2009-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962563 | Cassycel Thigpen | Psychologist | 4894a Highway 584 Liberty, 4894a Highway 584 Liberty, Liberty, MS 39645 | 2020-11-05 |
| 1730566175 | John Mason Douglas | Nurse Practitioner | 102 W Freedom Dr, Liberty, MS 39645 | 2015-05-06 |
| 1407101140 | Weathers Chiropractic Center Pllc | Chiropractor | 128 West Broken St, Liberty, MS 39645 | 2012-07-18 |
| 1265646145 | Amite County School District | Registered Nurse | 3457 S. Greensburg Rd., Liberty, MS 39645 | 2007-05-09 |
| 1861428716 | Heather Johnson Harden | Nurse Practitioner | 138 Clinic Drive, Liberty, MS 39645 | 2006-06-23 |
| 1427567791 | Melanie Dawne Robertson | Nurse Practitioner | 102 W Freedom Dr, Liberty, MS 39645 | 2017-09-29 |
| 1295097269 | Karen Christine Ross | Nurse Practitioner | 102 West Freedom Drive, Liberty, MS 39645 | 2012-06-14 |
| 1528337367 | Care One Health | In Home Supportive Care | 171 East Main Street, Liberty, MS 39645 | 2011-12-23 |
| 1659693083 | Amite County Medical Services, Inc. | Clinic/Center | 102 West Freedom Drive, Liberty, MS 39645 | 2010-02-26 |
| 1639124183 | Liberty Drug Store, Inc. | Pharmacist | 110 E Main St, Liberty, MS 39645 | 2006-05-23 |
| Find all providers in zip 39645 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144705252 | Jessica F Taddeo | Occupational Therapist | 2555 Norterre Cir, Liberty, MO 64068-3412 | 2018-09-25 |
| 1225513328 | Hannah Page | Occupational Therapist | 527 North State Route 291, Suite A, Liberty, MS 64121-1045 | 2018-09-25 |
| 1326437674 | Tracy Wilt | Occupational Therapist | 1001 Aspen Dr, Liberty, MO 64068-7411 | 2015-01-09 |
| 1184012775 | Brian Wilson | Occupational Therapist | 6919 Nebo Hills Rd, Liberty, MO 64068-8504 | 2015-01-05 |
| 1205045960 | Kimberly Ann Littlejohn | Occupational Therapist | 1114 Crimson Ln, Liberty, MO 64068-8499 | 2007-05-21 |
| 1568590404 | Jacqueline M Chase | Occupational Therapist | 2009 Camille Ct, Liberty, MO 64068-9101 | 2007-03-01 |
| 1104443217 | Chelsie Marie Stauch | Occupational Therapist | 5 Triangle Rd, Liberty, NY 12754-3368 | 2020-07-06 |
| 1487292785 | Courtney Taylor Banks | Occupational Therapist | 170 Lake St, Liberty, NY 12754-1966 | 2019-12-17 |
| 1265082499 | Laurie A Gray | Occupational Therapist | 2609 Glenn Hendren Dr # G100, Liberty, MO 64068-3313 | 2019-09-19 |
| 1528456340 | Alisha Rapp | Occupational Therapist | 2201 Glenn Hendren Dr, Liberty, MO 64068-3375 | 2014-12-31 |
| Find all providers in LIBERTY | ||||
Please comment or provide details below to improve the information on PARAGON REHAB, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.