MEDICOMP, INC. (NPI# 1861794810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861794810 |
| Entity Type | Organization |
| Organization Name | MEDICOMP, INC. |
| Other Organization Name | FOREST PHYSICAL THERAPY |
| Practice Address |
813 W Third St Forest MS 39074-4006 |
| Practice Telephone | 6014691001 |
| Practice Fax Number | 6014691009 |
| Mailing Telephone | 6014691001 |
| Mailing Fax Number | 6014691009 |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2010-11-24 |
| Authorized Official Name | MR. JOSEPH S 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04903263 | 05 |
| Other Name | Type Code |
|---|---|
| Forest Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336509728 | Medicomp, Inc. | Clinic/Center | 3454 Highway 80 E, Pearl, MS 39208-4001 | 2016-02-29 |
| 1033574579 | Medicomp, Inc. | Clinic/Center | 647 Flowers Drive, Blakely, GA 39823-2574 | 2015-12-29 |
| 1114229168 | Medicomp, Inc. | Physical Therapist | 1392 W Government St # C, Brandon, MS 39042-3049 | 2010-11-24 |
| 1285950246 | Medicomp, Inc. | Occupational Therapist | 357 Simpson Highway 149, Magee, MS 39111-3877 | 2010-04-15 |
| 1780049353 | Medicomp, Inc. | Clinic/Center | 167 Moore Rd, King, NC 27021-8770 | 2015-12-23 |
| 1669837241 | Medicomp, Inc. | Clinic/Center | 817 Woodland Drive, Stuart, VA 24171-1559 | 2015-12-23 |
| 1952766537 | Medicomp, Inc. | Clinic/Center | 18797 Alberta St, Oneida, TN 37841-2127 | 2015-12-23 |
| 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 |
813 W THIRD ST |
| City | FOREST |
| State | MS |
| Zip Code | 39074-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457388530 | Sarah A Parker | Physical Therapist | 813 W Third St, Forest, MS 39074-4006 | 2006-06-26 |
| 1235439423 | Paula Stacy Norman | Speech-Language Pathologist | 813 W Third St, Forest, MS 39074-4006 | 2010-10-22 |
| 1407188113 | Daniel Stewart | Specialist/Technologist | 813 W Third St, Forest, MS 39074-4006 | 2010-02-04 |
| 1629149406 | Jessica Gail Martin | Physical Therapist | 813 W Third St, Forest, MS 39074-4006 | 2006-11-13 |
| 1437269636 | Leanne Earls Pounders | Physical Therapist | 813 W Third St, Forest, MS 39074-4006 | 2006-08-30 |
| 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 | 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 |
|---|---|---|---|---|
| 1033656384 | Katelyn Anne Bosch | Physical Therapist | 1155 Foxmoor Pl, Forest, VA 24551-2320 | 2017-01-25 |
| 1922403328 | Lucas Brown | Physical Therapist | 1111 Corporate Park Drive, Suite B, Forest, VA 24551 | 2014-10-28 |
| 1417294125 | Joy King | Physical Therapist | 1294 Lejack Circle, Forest, VA 24551 | 2013-01-15 |
| 1053567636 | Cathy G Cooper | Physical Therapist | 813 West 3rd Street, Forest, MS 39074 | 2008-08-14 |
| 1316134208 | Joel B Eggleston | Physical Therapist | 1111 Corporate Park Dr Ste B, Forest, VA 24551 | 2007-09-25 |
| 1548279235 | Michael Richardson | Physical Therapist | 1111 Corporate Park Dr, Ste B, Forest, VA 24551-2286 | 2006-08-05 |
| 1811927817 | Brian Ian Richman | Physical Therapist | 110 Vista Centre Dr Ste 8, Forest, VA 24551-2600 | 2006-07-04 |
| 1457388530 | Sarah A Parker | Physical Therapist | 813 W Third St, Forest, MS 39074-4006 | 2006-06-26 |
| 1992317804 | Rhuel Dickinson IIi | Physical Therapist | 1151 Highway 35 S, Forest, MS 39074-8829 | 2020-08-21 |
| 1780200212 | Nate Daugherty | Physical Therapist | 2203 Graves Mill Rd Ste A, Forest, VA 24551-4297 | 2020-06-20 |
| Find all providers in FOREST | ||||
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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.