2083 THERAPY, LLC (NPI# 1609389576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609389576 |
Entity Type | Organization |
Organization Name | 2083 THERAPY, LLC |
Other Organization Name | 2083 THERAPY OF WEST POINT |
Practice Address |
505 W Main St West Point MS 39773-2755 |
Practice Telephone | 6623914000 |
Mailing Telephone | 6623914000 |
Enumeration Date | 2017-11-14 |
Last Update Date | 2017-11-14 |
Authorized Official Name | JOSEPH S 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 West Point | 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 |
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 |
1174042360 | 2083 Therapy, LLC | Clinic/Center | 236 Caldwell Dr, Hazlehurst, MS 39083-2723 | 2017-09-19 |
Street Address |
505 W MAIN ST |
City | WEST POINT |
State | MS |
Zip Code | 39773-2755 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598143109 | Medicomp, Inc | Physical Therapist | 505 W Main St, West Point, MS 39773-2755 | 2015-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114532587 | David Vincent Hughes Jr. | Specialist/Technologist | 1 Priority Plaza, West Point, MS 39773 | 2020-09-13 |
1548809833 | Karen Annabelle Cuesta | Physical Therapist | 1122 N. Eshman Avenue, West Point, MS 39773 | 2020-01-03 |
1235780784 | Kimberly Kay Patterson | Pharmacist | 5509 Us-45 Alt S, West Point, MS 39773 | 2019-09-26 |
1821584673 | Amber L Brasfield | Nurse Practitioner | 5713 Hwy 45 Alt S, West Point, MS 39773 | 2018-07-05 |
1285185322 | Jordana Baker | Pharmacist | 5509 Highway 45 Alternate, West Point, MS 39773 | 2016-10-24 |
1144685900 | Renal Care Group Tupelo, LLC | Clinic/Center | 1612 West Church Hill Road, West Point, MS 39773 | 2015-12-22 |
1326437864 | Amber Orman | Behavioral Analyst | 222 Mary Holmes Drive, West Point, MS 39773 | 2015-01-22 |
1972945780 | Point City Drugs LLC | Pharmacy | 7683 Highway 45 Alt N, West Point, MS 39773 | 2013-07-22 |
1932409083 | Barbrette A. Baldwin | Obstetrics & Gynecology | 373 Medical Center Cir, West Point, MS 39773 | 2010-10-22 |
1801112115 | Dawn M Holmes | Counselor | 223 Court St, West Point, MS 39773 | 2010-04-12 |
Find all providers in zip 39773 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952877060 | Encore Rehabilitation Inc | Clinic/Center | 5731 Highway 45 Alt S Ste 1277, West Point, MS 39773-0414 | 2018-10-16 |
1407360605 | Enduracare Acute Care Services LLC | Clinic/Center | 26049 W Main St, West Point, MS 39773-2760 | 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 |
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 |
1811406093 | 2083 Therapy, LLC | Clinic/Center | 1129 Ms-35 #2, Forest, MS 39074-4006 | 2017-09-20 |
Find all providers with the same taxonomy |
City | WEST POINT |
Zip Code | 39773 |
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.