MID SOUTH REHAB OUTPATIENT, LLC (NPI# 1447580915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447580915 |
| Entity Type | Organization |
| Organization Name | MID SOUTH REHAB OUTPATIENT, LLC |
| Practice Address |
711 Avignon Dr Ridgeland MS 39157-5120 |
| Practice Telephone | 6016056777 |
| Practice Fax Number | 8005176935 |
| Mailing Telephone | 6016056777 |
| Mailing Fax Number | 8005176935 |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |
| Authorized Official Name | STEVEN COLE (CEO) |
| Authorized Official Telephone | 6016056777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Street Address |
711 AVIGNON DR |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-5120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609930965 | Midsouth Rehab Services Inc. | Occupational Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2006-12-21 |
| 1417481037 | Deborah Cunningham | Occupational Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-04-20 |
| 1689108201 | Amanda Mix | Physical Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-04-20 |
| 1174057798 | Jennifer Hamilton | Occupational Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-04-20 |
| 1528592219 | Candice Fairley | Occupational Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-04-19 |
| 1528592300 | Jeffery Ross | Physical Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-04-18 |
| 1154853653 | Dietrich Rapp | Physical Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-04-03 |
| 1619418399 | Taylor Weber Brandon | Occupational Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157 | 2017-03-15 |
| 1861931883 | Teresa Wright | Occupational Therapist | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-02-23 |
| 1881133809 | Rohit Soni | Physical Therapist | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
| 1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
| 1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
| 1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
| 1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
| 1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
| 1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
| 1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
| 1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
| Find all providers in zip 39157 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780197939 | Healthy You Chiropractic and Rehabilitation Center | Clinic/Center | 411 Briarwood Dr Ste 401, Jackson, MS 39206-3058 | 2017-11-09 |
| 1518400191 | Franklin County Memorial Hospital Dba Fc Sports and Therapy Center | Clinic/Center | 248 B Main St W, Meadville, MS 39653 | 2016-11-30 |
| 1881015147 | Sentry Rehab, LLC | Clinic/Center | 106a Office Park Dr, Brandon, MS 39042-2404 | 2014-01-03 |
| 1023441078 | Mobility Benefit, LLC | Clinic/Center | 180 Williams Dr, Florence, MS 39073-9111 | 2013-08-14 |
| 1669814687 | Pinnacle Rehabilitation, LLC | Clinic/Center | 5 Northside Dr, Belmont, MS 38827-9201 | 2013-07-18 |
| 1528308418 | Aspire Rehab Group | Clinic/Center | 5908 Allen Rd Se, Mc Call Creek, MS 39647-5321 | 2013-02-28 |
| 1992021026 | Scherer Chiropractic LLC | Clinic/Center | 333 Sarepta Ln Nw, Meadville, MS 39653-8223 | 2010-04-14 |
| 1669656765 | North Mississippi Medcial Center, Inc. | Clinic/Center | 920 N Fourth St, Suite A, Baldwyn, MS 38824-1121 | 2007-12-26 |
| 1386769669 | Physiotherapy Associates Inc | Clinic/Center | 1308 Aston Ave, Mccomb, MS 39648-2826 | 2007-03-19 |
| 1275658544 | Physiotherapy Associates Inc | Clinic/Center | 631 Brookway Blvd, Brookhaven, MS 39601-2637 | 2007-03-19 |
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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.