2083 THERAPY, LLC (NPI# 1174042360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174042360 |
| Entity Type | Organization |
| Organization Name | 2083 THERAPY, LLC |
| Other Organization Name | 2083 THERAPY OF HAZELHURST |
| Practice Address |
236 Caldwell Dr Hazlehurst MS 39083-2723 |
| Mailing Address |
100 Pioneer Way Magee MS 39111-5501 |
| Practice Telephone | 6018949004 |
| Mailing Telephone | 6018496440 |
| Mailing Fax Number | 6018491332 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2020-04-24 |
| Authorized Official Name | JOSEPH S MCNULTY IV (PRESIDENT) |
| Authorized Official Telephone | 6018496440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BUSINESS LICENSE | 1109164 | 01 |
| Other Name | Type Code |
|---|---|
| 2083 Therapy of Hazelhurst | Doing Business As Name - Organization |
| Apex Physical Therapy of Copiah | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972016848 | 2083 Therapy, LLC | Clinic/Center | 5080 Lakeland Dr., Suite B, Flowood, MS 39232-4403 | 2017-11-14 |
| 1801309778 | 2083 Therapy, LLC | Clinic/Center | 1392 W Government St Ste C, Brandon, MS 39042-3049 | 2017-11-14 |
| 1811406093 | 2083 Therapy, LLC | Clinic/Center | 1129 Ms-35 #2, Forest, MS 39074-4006 | 2017-09-20 |
| 1821568791 | 2083 Therapy, LLC | Clinic/Center | 1151 Highway 35 S, Forest, MS 39074-8829 | 2018-12-04 |
| 1609389576 | 2083 Therapy, LLC | Clinic/Center | 505 W Main St, West Point, MS 39773-2755 | 2017-11-14 |
| 1235642141 | 2083 Therapy, LLC | Clinic/Center | 70 Highway 25 S, Aberdeen, MS 39730-9033 | 2017-11-14 |
| 1366951139 | 2083 Therapy, LLC | Clinic/Center | 1 Woodgreen Pl Ste 101, Madison, MS 39110-8161 | 2017-09-25 |
| 1528577392 | 2083 Therapy, LLC | Clinic/Center | 513 W Marion Ave, Crystal Springs, MS 39059-2748 | 2017-09-25 |
| 1225547227 | 2083 Therapy, LLC | Clinic/Center | 710 Main St Ste 10, Collins, MS 39428-6293 | 2017-09-22 |
| 1134638307 | 2083 Therapy, LLC | Clinic/Center | 357 Simpson Highway 149, Magee, MS 39111-3877 | 2017-09-20 |
| Street Address |
236 CALDWELL DR |
| City | HAZLEHURST |
| State | MS |
| Zip Code | 39083-2723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104149475 | Alysia R Newman | Physical Therapist | 236 Caldwell Dr, Hazlehurst, MS 39083-2723 | 2010-03-01 |
| 1598323552 | Alyssa Nichole Bryant | Physical Therapist | 236 Caldwell Dr, Hazlehurst, MS 39083-2723 | 2019-06-04 |
| 1750774493 | Medicomp, Inc | Physical Therapist | 236 Caldwell Dr, Hazlehurst, MS 39083-2723 | 2015-03-05 |
| 1396138020 | Leslie Curtis Sims | Occupational Therapist | 236 Caldwell Dr, Hazlehurst, MS 39083-2723 | 2015-03-04 |
| 1619375094 | Jason Dean Miles | Occupational Therapist | 236 Caldwell Dr, Hazlehurst, MS 39083-2723 | 2014-12-16 |
| 1700283223 | Travis Pace | Physical Therapist | 236 Caldwell Dr, Hazlehurst, MS 39083-2723 | 2014-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757949 | Claiborne Brooke White | Speech-Language Pathologist | 27190 Ms-28, Hazlehurst, MS 39083 | 2020-07-09 |
| 1750898961 | Laquita L. Johnson | Pharmacist | 102 Williams Street, Hazlehurst, MS 39083 | 2018-01-09 |
| 1134633324 | Enduracare Acute Care Services LLC | Clinic/Center | 236 North Caldwell Drive, Hazelhurst, MS 39083 | 2017-11-27 |
| 1053852392 | Alvin Dale Griffin | Occupational Therapy Assistant | 27190 Ms 28, Hazlehurst, MS 39083 | 2017-03-20 |
| 1770609364 | Gerri L Hill Chance | Psychiatry & Neurology | 206 Robert Mcdaniel Drive, Hazelhurst, MS 39083 | 2007-03-22 |
| 1902976665 | Allred's Pharmacy Inc | Pharmacy | 214 West Gallatin St, Hazelhurst, MS 39083 | 2006-11-09 |
| 1891897260 | Fred J Mcdonnell | Family Medicine | 213 Caldwell Drive, Hazlehurst, MS 39083 | 2006-09-05 |
| 1770515058 | Central Mississippi Civic Improvement Association | Clinic/Center | 550 Caldwell Drive, Hazlehurst, MS 39083 | 2006-07-07 |
| 1881649168 | Isd Renal Inc | Clinic/Center | 201 N Haley St, Hazlehurst, MS 39083 | 2006-05-24 |
| 1396793188 | Hazlehurst Vision Clinic | Optometrist | 247 North Caldwell Dr., Suite B, Hazlehurst, MS 39083 | 2006-05-04 |
| Find all providers in zip 39083 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205167699 | The Therapy Group, L.L.C. | Clinic/Center | 126 West Gallatin Street, Hazlehurst, MS 39083-2309 | 2010-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804283 | Rehab Ready, LLC | Clinic/Center | 2136 Stateline Rd W Ste B-c, Southaven, MS 38671-1210 | 2020-09-02 |
| 1609411354 | Enduracare Acute Care Services LLC | Clinic/Center | 351 Old Oak Cir, Pontotoc, MS 38863-5016 | 2019-11-16 |
| 1154880540 | Core Rehabilitation, LLC | Clinic/Center | 143c Willowbrook Dr, Saltillo, MS 38866-6896 | 2019-03-15 |
| 1952877060 | Encore Rehabilitation Inc | Clinic/Center | 5731 Highway 45 Alt S Ste 1277, West Point, MS 39773-0414 | 2018-10-16 |
| 1689150054 | 5 Star Performance Center, LLC | Clinic/Center | 4500 Lakeland Dr, Flowood, MS 39232-9583 | 2018-07-18 |
| 1134633324 | Enduracare Acute Care Services LLC | Clinic/Center | 236 North Caldwell Drive, Hazelhurst, MS 39083 | 2017-11-27 |
| 1104330430 | Enduracare Acute Care Services LLC | Clinic/Center | 7381 S Siwell Rd Ste A, Byram, MS 39272-8741 | 2017-11-22 |
| 1972016848 | 2083 Therapy, LLC | Clinic/Center | 5080 Lakeland Dr., Suite B, Flowood, MS 39232-4403 | 2017-11-14 |
| 1801309778 | 2083 Therapy, LLC | Clinic/Center | 1392 W Government St Ste C, Brandon, MS 39042-3049 | 2017-11-14 |
| 1689185597 | Southern Physical and Aquatic Therapy, P.a. | Clinic/Center | 369 Peoples Drive, Pontotoc, MS 38863 | 2017-10-18 |
| Find all providers with the same taxonomy | ||||
| City | HAZLEHURST |
| Zip Code | 39083 |
Please comment or provide details below to improve the information on 2083 THERAPY, 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.