FREEMAN PHYSICAL THERAPY INC. (NPI# 1336291749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336291749 |
| Entity Type | Organization |
| Organization Name | FREEMAN PHYSICAL THERAPY INC. |
| Practice Address |
1901a Mission 66 Vicksburg MS 39180-3711 |
| Mailing Address |
205 Plantation Dr Vicksburg MS 39183-8795 |
| Practice Telephone | 6016386723 |
| Practice Fax Number | 6016384979 |
| Mailing Telephone | 6016386723 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID RON FREEMAN (OWNER) |
| Authorized Official Telephone | 6016386723 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT0703 | MS | Ambulatory Health Care Facilities |
| Street Address |
1901A MISSION 66 |
| City | VICKSBURG |
| State | MS |
| Zip Code | 39180-3711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710441308 | Kurt David Cooksey | Physical Therapist | 1901a Mission 66, Vicksburg, MS 39180-3711 | 2019-01-28 |
| 1730669318 | Sean Weaver | Physical Therapist | 1901a Mission 66, Vicksburg, MS 39180-3711 | 2018-08-14 |
| 1699229914 | Angela Spencer | Speech-Language Pathologist | 1901a Mission 66, Vicksburg, MS 39180-3711 | 2016-08-04 |
| 1881147247 | Michael Busby | Physical Therapist | 1901a Mission 66, Vicksburg, MS 39180-3711 | 2016-08-02 |
| 1588117956 | Bailee Busby | Physical Therapist | 1901a Mission 66, Vicksburg, MS 39180-3711 | 2016-08-02 |
| 1497120240 | Catelyn Skipper | Occupational Therapist | 1901a Mission 66, Vicksburg, MS 39180-3711 | 2015-12-04 |
| 1205210689 | Virginia Wilson Duke | Physical Therapist | 1901a Mission 66, Vicksburg, MS 39180-3711 | 2015-07-15 |
| 1144603507 | Douglas Hohman | Physical Therapist | 1901a Mission 66, Vicksburg, MS 39180-3711 | 2015-07-02 |
| 1922481548 | Alys Minckler | Occupational Therapist | 1901a Mission 66, Vicksburg, MS 39180-3711 | 2015-06-30 |
| 1154746154 | Diagnostic Testing Solutions | Physiological Laboratory | 1901a Mission 66, Vicksburg, MS 39180-3711 | 2014-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255877346 | Elite Performance and Rehab, LLC | Clinic/Center | 1901 A Mission 66, Vicksburg, MS 39180 | 2017-01-12 |
| 1679931083 | Heather M Anderson | Physician Assistant | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 | 2016-02-01 |
| 1245604941 | Warren County Assn.for Retarded Citizens, Inc. | Day Training, Developmentally Disabled Services | 100 Smokey Lane, Vicksburg, MS 39180 | 2015-11-18 |
| 1386012904 | Brian Oliver Snowden | Counselor | 3530 Manor Dr Ste 5a, Vicksburg, MS 39180 | 2015-09-14 |
| 1962802710 | Jordan P. Crocker, D.m.d., Pllc | Clinic/Center | 109 Monument Place, Vicksburg, MS 39180 | 2014-08-29 |
| 1821434259 | Trisha Addison | Physical Therapist | 2222 South Frontage Road, Suite D, Vicksburg, MS 39180 | 2013-05-13 |
| 1073862157 | Laura Jeanne Briggs | Physical Therapist | 1901-a Mission 66, Vicksburg, MS 39180 | 2012-09-05 |
| 1912175258 | Andrea T. Harris | Counselor | Warren-yazoo Mental Health Service, 3444 Wisconsin Ave., Vicksburg, MS 39180 | 2008-02-20 |
| 1922217314 | Austin Family Dentistry | Dentist | 3040 Indiana Ave, Vicksburg, MS 39180 | 2007-05-22 |
| 1063539138 | Ollie Hardaway Jr. | Dentist | 154 Cottonwood Street, Vicksburg, MS 39180 | 2007-03-23 |
| Find all providers in zip 39180 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255877346 | Elite Performance and Rehab, LLC | Clinic/Center | 1901 A Mission 66, Vicksburg, MS 39180 | 2017-01-12 |
| 1619351517 | Freeman Physical Therapy | Clinic/Center | 1990 S Frontage Rd, Suite J, Vicksburg, MS 39180-5232 | 2015-07-10 |
| 1598039976 | Scott Robbins Physical Therapy, PC | Clinic/Center | 2222 S Frontage Rd, Suite D, Vicksburg, MS 39180-5271 | 2012-03-01 |
| 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 |
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| 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.