2083 THERAPY, LLC (NPI# 1528577392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528577392 |
| Entity Type | Organization |
| Organization Name | 2083 THERAPY, LLC |
| Other Organization Name | 2083 THERAPY OF CRYSTAL SPRINGS |
| Practice Address |
513 W Marion Ave Crystal Springs MS 39059-2748 |
| Mailing Address |
110 Pioneer Way Magee MS 39111-5501 |
| Practice Telephone | 6012815930 |
| Mailing Telephone | 6018496440 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |
| Authorized Official Name | JOSEPH MCNULTY IV (CEO) |
| 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 Crystal Springs | 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 |
| 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 |
| 1174042360 | 2083 Therapy, LLC | Clinic/Center | 236 Caldwell Dr, Hazlehurst, MS 39083-2723 | 2017-09-19 |
| Street Address |
513 W MARION AVE |
| City | CRYSTAL SPRINGS |
| State | MS |
| Zip Code | 39059-2748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588042451 | Medicomp, Inc | Physical Therapist | 513 W Marion Ave, Crystal Springs, MS 39059-2748 | 2015-05-12 |
| 1982118188 | Enduracare Acute Care Services LLC | Clinic/Center | 513 W Marion Ave, Crystal Springs, MS 39059-2748 | 2017-11-27 |
| 1619491545 | Craig Howard | Physical Therapist | 513 W Marion Ave, Crystal Springs, MS 39059-2748 | 2017-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003375411 | Neuro Rehabcare-tass | Rehabilitation Unit | 512 Harmony Road, Crystal Springs, MS 39059 | 2019-03-15 |
| 1447510581 | Baptist Jackson Heart Cardiology Clinic-crystal Springs | Internal Medicine | 123 Bobo Drive, Crystal Springs, MS 39059 | 2012-05-23 |
| 1134438757 | William Robert Myers | Pharmacist | 25096 Highway 51, Fred's Pharmacy # 1489, Crystal Springs, MS 39059 | 2010-09-30 |
| 1679770507 | Lucas Nathaniel Watson | Social Worker | 34132 Hwy 28 East, Crystal Springs, MS 39059 | 2007-07-03 |
| 1699818948 | Jerry Babb Gulledge | Family Medicine | 408 East Railroad Avenue North, Crystal Springs, MS 39059 | 2007-02-15 |
| 1306903844 | Onous J Wells Jr. | Dentist | 304 Harmony Road, Crystal Springs, MS 39059 | 2007-01-03 |
| 1073608881 | Melanie B Austin | Occupational Therapist | 104 West Railroad Ave. North, Crystal Springs, MS 39059 | 2006-10-04 |
| 1972603819 | Copiah Medical Associates, LLP | Family Medicine | 123 Bobo Dirve, Crystal Springs, MS 39059 | 2006-09-22 |
| 1467554378 | Albert J. Singletary, Inc | Dentist | 707 West Georgetown St., Crystal Springs, MS 39059 | 2006-09-01 |
| 1225004948 | Cds Home Care, Inc | Durable Medical Equipment & Medical Supplies | 119 Bobo Dr, Crystal Springs, MS 39059 | 2006-02-23 |
| Find all providers in zip 39059 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982118188 | Enduracare Acute Care Services LLC | Clinic/Center | 513 W Marion Ave, Crystal Springs, MS 39059-2748 | 2017-11-27 |
| 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 | CRYSTAL SPRINGS |
| Zip Code | 39059 |
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.