MEDICOMP, INC (NPI# 1457738429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457738429 |
| Entity Type | Organization |
| Organization Name | MEDICOMP, INC |
| Other Organization Name | MEDICOMP PHYSICAL THERAPY IUKA |
| Practice Address |
1112b Maria Ln Iuka MS 38852-1119 |
| Mailing Address |
2015 Highpointe Dr Brandon MS 39042-3169 |
| Practice Telephone | 8889762667 |
| Practice Fax Number | 6018248828 |
| Mailing Telephone | 8889762667 |
| Mailing Fax Number | 6018248828 |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |
| Authorized Official Name | MR. JOSEPH MCNULTY III (CEO) |
| Authorized Official Telephone | 6018496440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Medicomp Physical Therapy Iuka | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396100970 | Medicomp, Inc | Clinic/Center | 1570 Hwy 8 and 89 North, Danbury, NC 27016-7360 | 2015-12-23 |
| 1154703650 | Medicomp, Inc | Physical Therapist | 9425 Eastside Drive Ext Ste B, Newton, MS 39345-8069 | 2015-06-22 |
| 1588042451 | Medicomp, Inc | Physical Therapist | 513 W Marion Ave, Crystal Springs, MS 39059-2748 | 2015-05-12 |
| 1548305360 | Medicomp, Inc | Clinic/Center | 110 Pioneer Way, Magee, MS 39111 | 2007-02-20 |
| 1346332574 | Medicomp, Inc | Clinic/Center | 7381 Siwell Rd, Ste A, Byram, MS 39272-8974 | 2006-09-28 |
| 1144338070 | Medicomp, Inc | Clinic/Center | 1054 Greymont Ave, Jackson, MS 39202-2718 | 2006-08-29 |
| 1952783458 | Medicomp, Inc | Physical Therapist | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2015-06-22 |
| 1598143109 | Medicomp, Inc | Physical Therapist | 505 W Main St, West Point, MS 39773-2755 | 2015-05-14 |
| 1750774493 | Medicomp, Inc | Physical Therapist | 236 Caldwell Dr, Hazlehurst, MS 39083-2723 | 2015-03-05 |
| 1518398833 | Medicomp, Inc | Physical Therapist | 1506 Highway 278 E, Amory, MS 38821-5918 | 2013-12-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDICOMP, INC. | 600 Atlantis Rd, Melbourne, FL 32904-2315 |
| Washington State Corporations | MEDICOMP, INC. | 711 Capitol Way S Ste 204, Olympia, WA 98501 |
| Street Address |
1112B MARIA LN |
| City | IUKA |
| State | MS |
| Zip Code | 38852-1119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881071942 | Rollin Fair | Physical Therapist | 1112b Maria Ln, Iuka, MS 38852-1119 | 2015-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850278 | Amy Melissa Selmon | Registered Nurse | 904 North Pearl Street, Iuka, MS 38852 | 2020-08-05 |
| 1619346475 | Michelle Johnson | Social Worker | 1223 Maria Ln, Iuka, MS 38852 | 2015-09-22 |
| 1538580386 | Mary Beth Sheffield | Dietitian, Registered | 179 Cr 995, Iuka, MS 38852 | 2013-12-20 |
| 1467887190 | Region Iv Mental Health Services Beacon House | Community/Behavioral Health | 2040 Paul Edmondson Drive, Iuka, MS 38852 | 2013-09-12 |
| 1801018106 | Preferred Care Rehab | Occupational Therapist | 502 Battleground Drive, Iuka, MS 38852 | 2007-05-03 |
| 1770706863 | Felix Morris M.d., LLC | Internal Medicine | 1777 Curtis Drive, Iuka, MS 38852 | 2007-04-10 |
| 1235272790 | Jocelyn B Doran | Dentist | 238 Kaki Street, Iuka, MS 38852 | 2007-02-15 |
| 1902953631 | Jimmy Ray Sanchez II | Chiropractor | 2009 Constitution Dr, Iuka, MS 38852 | 2007-01-04 |
| 1952476707 | Family Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 1105 Battleground Drive, Iuka, MS 38852 | 2006-11-21 |
| 1669481875 | Barnett Apothecary, LLC | Pharmacist | 606 Battleground Dr, Iuka, MS 38852 | 2006-08-05 |
| Find all providers in zip 38852 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366989089 | Drayer Physical Therapy Mississippi LLC | Physical Therapist | 412a Battleground Drive, Iuka, MS 38852-1309 | 2017-01-20 |
| 1881071942 | Rollin Fair | Physical Therapist | 1112b Maria Ln, Iuka, MS 38852-1119 | 2015-04-28 |
| 1770807083 | Heather Surholt | Physical Therapist | 502 Battleground Dr, Iuka, MS 38852-1311 | 2010-03-16 |
| 1407467582 | Surya Nallamala | Physical Therapist | 1670 Whitehouse Rd, Iuka, MS 38852-9013 | 2020-08-12 |
| 1659818375 | Drayer Physical Therapy of Tennessee LLC | Physical Therapist | 412a Battleground Drive, Iuka, MS 38852-1309 | 2017-01-20 |
| 1821304841 | Bobbie Scott | Physical Therapist | 1410 W Quitman St, Iuka, MS 38852-1129 | 2010-08-27 |
| 1851615165 | Robin Sansing | Physical Therapist | 502 Battleground Dr, Iuka, MS 38852-1311 | 2010-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100826 | Sarah Kathryn Pratt | Physical Therapist | 5271 Getwell Road, Suite A, Southaven, MS 38672 | 2020-09-24 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1952916637 | Harrison Olinger | Physical Therapist | 6300 E Lake Blvd Ste 101, Vancleave, MS 39565-6771 | 2020-09-10 |
| 1114539582 | Kristin Renae Ferrell | Physical Therapist | 276 Nissan Pkwy Ste 100, Canton, MS 39046-7006 | 2020-08-18 |
| 1891303699 | Kimberly Walker | Physical Therapist | 936 Pocahontas Rd, Flora, MS 39071 | 2020-07-17 |
| 1215554423 | Kathryn Webb | Physical Therapist | 273a Whaley Dr, Holly Springs, MS 38635-3243 | 2020-07-03 |
| 1518584895 | Tamarian Strong | Physical Therapist | 22 Charleston Cir, Brandon, MS 39047-6141 | 2020-07-02 |
| 1124645684 | Champion Physical Therapy, LLC | Physical Therapist | 901 Lakeland Pl Ste 9, Flowood, MS 39232-6633 | 2020-07-01 |
| 1043836133 | Molly Bryan Davis | Physical Therapist | 154 Merritt Dr, Tupelo, MS 38801-9356 | 2020-06-24 |
| 1548886195 | Bryant Physical Therapy and Wellness | Physical Therapist | 1145 Spanish Oak Dr, Pearl, MS 39208-5069 | 2020-06-19 |
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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.