2083 THERAPY, LLC (NPI# 1811406093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811406093 |
| Entity Type | Organization |
| Organization Name | 2083 THERAPY, LLC |
| Other Organization Name | 2083 THERAPY OF FOREST |
| Practice Address |
1129 Ms-35 #2 Forest MS 39074-4006 |
| Mailing Address |
110 Pioneer Way Magee MS 39111-5501 |
| Practice Telephone | 6014691001 |
| Mailing Telephone | 6018496440 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-09-20 |
| Authorized Official Name | JOESPH 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 Forest | 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 |
| 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 |
| 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 |
1129 MS-35 #2 |
| City | FOREST |
| State | MS |
| Zip Code | 39074-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720645831 | Justin Laster | Physical Therapist | 1129 Ms-35 #2, Forest, MS 39074 | 2019-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095927 | Tamatha Nicole Owen | Nurse Practitioner | 1061 Highway 35 S, Forest, MS 39074 | 2019-10-28 |
| 1154687838 | Region Ten Commission On Mental Health | Clinic/Center | 13682 Hwy 80 West, Forest, MS 39074 | 2012-04-06 |
| 1053567636 | Cathy G Cooper | Physical Therapist | 813 West 3rd Street, Forest, MS 39074 | 2008-08-14 |
| 1487866158 | Terry Ann Meadows | Clinic/Center | 330 North Broad St, Forest, MS 39074 | 2007-05-04 |
| 1770702144 | Randy K Reynolds | Dentist | 208 West 3rd Street, Forest, MS 39074 | 2007-04-24 |
| 1215067293 | John B. Smith, Jr. Dmd, Pa | Dentist | 1040 Highway 35 South, Drawer 30, Forest, MS 39074 | 2007-03-07 |
| 1225189244 | Douglas F Harvel, Jr | Dentist | 1040 Highway 35 S, Forest, MS 39074 | 2007-01-16 |
| 1861542433 | Forest Dental Practice Pllc | Dentist | Po Drawer 30, Forest, MS 39074 | 2007-01-12 |
| 1306996970 | John B Smith Jr. | Dentist | 1040 Hwy 35 South, Forest, MS 39074 | 2007-01-12 |
| 1295821072 | Buddy Lee Eady | Chiropractor | 500 East 3rd St., Forest, MS 39074 | 2006-10-05 |
| Find all providers in zip 39074 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821568791 | 2083 Therapy, LLC | Clinic/Center | 1151 Highway 35 S, Forest, MS 39074-8829 | 2018-12-04 |
| 1427562610 | Enduracare Acute Care Services LLC | Clinic/Center | 1129 Highway 35 S Ste 2, Forest, MS 39074-8829 | 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 | ||||
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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.