EXCEL PHYSICAL THERAPY AND WELLNESS CENTER, PLLC (NPI# 1043694946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043694946 |
| Entity Type | Organization |
| Organization Name | EXCEL PHYSICAL THERAPY AND WELLNESS CENTER, PLLC |
| Practice Address |
107 Amethyst Ln Brandon MS 39047-6376 |
| Practice Telephone | 6012605767 |
| Mailing Telephone | 6012605767 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-08-27 |
| Authorized Official Name | DR. RASHAD SMITH (OWNER, CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6012605767 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT4493 | MS | Ambulatory Health Care Facilities |
| Street Address |
107 AMETHYST LN |
| City | BRANDON |
| State | MS |
| Zip Code | 39047-6376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003174566 | Rashad Smith | Physical Therapist | 107 Amethyst Ln, Brandon, MS 39047-6376 | 2012-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1568019784 | Juarez Brown Emerson | Registered Nurse | 426 Pinebrook Circle, Brandon, MS 39047 | 2019-08-22 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1528423035 | Kathlene Strangeman | Social Worker | 111 Lakeshore Dr Apt G403, Brandon, MS 39047 | 2015-12-28 |
| 1174935076 | Anthony Davis | Counselor | 198 Bellegrove Cir, Brandon, MS 39047 | 2014-05-27 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1437429941 | Picton Timothy Evans | Pharmacist | 150 B Cumberland Ed, Brandon, MS 39047 | 2012-01-01 |
| 1275828030 | Kathryn Audell Piburn | Nurse Practitioner | 1887 Spillway Rd Ste 140, Brandon, MS 39047 | 2011-06-09 |
| 1801930532 | Susanne Reynolds Moore | Dentist | 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 | 2007-02-16 |
| 1194898429 | Brookshire Grocery Company | Durable Medical Equipment & Medical Supplies | 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047 | 2006-11-16 |
| Find all providers in zip 39047 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851858922 | Motus Vita Physical Therapy | Clinic/Center | 930 Lithia Pinecrest Rd, Brandon, FL 33511-6121 | 2019-02-26 |
| 1801309778 | 2083 Therapy, LLC | Clinic/Center | 1392 W Government St Ste C, Brandon, MS 39042-3049 | 2017-11-14 |
| 1093109639 | Synergy Myofascial Release & Rehab, Inc. | Clinic/Center | 115 Village Sq Ste K, Brandon, MS 39047-6069 | 2015-03-21 |
| 1164726162 | Rnj Home Health Services, Inc | Clinic/Center | 47 Camelot Ridge Dr, Brandon, FL 33511-8099 | 2011-01-05 |
| 1346494697 | Avera Mckennan | Clinic/Center | 103 N Splitrock Blvd, Brandon, SD 57005-1529 | 2008-11-13 |
| 1235324005 | Family Physical Therapy Center | Clinic/Center | 704 W Lumsden Rd, Brandon, FL 33511-6260 | 2007-09-13 |
| 1467505370 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 116 N Kings Ave, Brandon, FL 33510-4302 | 2007-01-22 |
| 1184777005 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 932 940 Oakfield Road, Suite C D4, Brandon, FL 33511 | 2007-01-22 |
| 1881171791 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 934 Oakfield Dr, Brandon, FL 33511-4950 | 2018-07-24 |
| 1659885986 | Enduracare Acute Care Services LLC | Clinic/Center | 1392 W Government St # C, Brandon, MS 39042-3049 | 2017-11-22 |
| Find all providers in BRANDON | ||||
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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.