CUSTOMIZED PHYSICAL THERAPY (NPI# 1851448708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851448708 |
| Entity Type | Organization |
| Organization Name | CUSTOMIZED PHYSICAL THERAPY |
| Practice Address |
103 Fox Chase Dr Hattiesburg MS 39402-2575 |
| Mailing Address |
702 Hillendale Dr Hattiesburg MS 39402-2618 |
| Practice Telephone | 6014088700 |
| Practice Fax Number | 6012642285 |
| Mailing Telephone | 6014088700 |
| Mailing Fax Number | 6012642285 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. PAMELA M RIMES (OWNER) |
| Authorized Official Telephone | 6014088700 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT 1137 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | PHYSICAL THERAPY | PT 1137 | 01 |
| Street Address |
103 FOX CHASE DR |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-2575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831209378 | Pamela M Rimes | Physical Therapist | 103 Fox Chase Dr, Hattiesburg, MS 39402-2575 | 2006-08-30 |
| 1134728827 | Molly Bonds | Speech-Language Pathologist | 103 Fox Chase Dr, Hattiesburg, MS 39402-2575 | 2020-10-22 |
| 1306445465 | Lauren Taylor | Speech-Language Pathologist | 103 Fox Chase Dr, Hattiesburg, MS 39402-2575 | 2020-10-20 |
| 1215534763 | Natalie Kaigler | Physical Therapist | 103 Fox Chase Dr, Hattiesburg, MS 39402-2575 | 2020-10-07 |
| 1669081972 | Keshia Wheeler | Speech-Language Pathologist | 103 Fox Chase Dr, Hattiesburg, MS 39402-2575 | 2020-07-23 |
| 1457983249 | Carmen Davis | Speech-Language Pathologist | 103 Fox Chase Dr, Hattiesburg, MS 39402-2575 | 2020-02-10 |
| 1295367340 | Margaret B Moore | Speech-Language Pathologist | 103 Fox Chase Dr, Hattiesburg, MS 39402-2575 | 2020-02-06 |
| 1629615562 | Adrian Dill | Speech-Language Pathologist | 103 Fox Chase Dr, Hattiesburg, MS 39402-2575 | 2019-12-10 |
| 1548805468 | Chrystal B Jones | Occupational Therapist | 103 Fox Chase Dr, Hattiesburg, MS 39402-2575 | 2019-11-14 |
| 1770047904 | Mary Catherine Barbato | Occupational Therapist | 103 Fox Chase Dr, Hattiesburg, MS 39402-2575 | 2019-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417251414 | Encore Rehabilitation, Inc. | Clinic/Center | 7123 Highway 98 W, Suite 20, 30, 40, Hattiesburg, MS 39402-7032 | 2011-01-05 |
| 1811143415 | Physiotherapy Associates, Inc. | Clinic/Center | 246 Westover Dr, Hattiesburg, MS 39402-1343 | 2008-08-14 |
| 1366404311 | Hub City Physical Therapy, LLC | Clinic/Center | 6798 U S Highway 98, Suite 30, Hattiesburg, MS 39402-7987 | 2006-04-05 |
| 1053883850 | Active Recovery LLC | Clinic/Center | 3906 Hardy St # 15, Hattiesburg, MS 39402-1683 | 2018-12-19 |
| 1033482294 | Encore Rehabilitation, Inc. | Clinic/Center | 498 Tuscan Ave, 1108, Hattiesburg, MS 39401-5461 | 2012-02-20 |
| 1083850770 | Excelerated Rehab & Fitness LLC | Clinic/Center | 7 Willow Bend Dr, Hattiesburg, MS 39402-8552 | 2008-12-30 |
| 1912033291 | Sunbelt Rehabilitation Systems, LLC | Clinic/Center | 3688 Veterans Memorial Dr, Suite 300, Hattiesburg, MS 39401-8246 | 2007-02-23 |
| 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 | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on CUSTOMIZED PHYSICAL THERAPY.
| 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.