COMPLETE PHYSICAL THERAPY, LLC (NPI# 1083860688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083860688 |
| Entity Type | Organization |
| Organization Name | COMPLETE PHYSICAL THERAPY, LLC |
| Practice Address |
809 N State St Jackson MS 39202-2604 |
| Mailing Address |
148 Sonnett Cir Madison MS 39110-7653 |
| Practice Telephone | 6013545722 |
| Practice Fax Number | 6013545322 |
| Mailing Telephone | 6018539291 |
| Mailing Fax Number | 6013545322 |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-14 |
| Authorized Official Name | NIKI SINGLETARY (PHYSICAL THERAPIST/OWNER) |
| Authorized Official Telephone | 6019405730 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT3460 | MS | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003279407 | Complete Physical Therapy, LLC | Clinic/Center | 1541 Diamond Dr, Casper, WY 82601-6247 | 2016-04-01 |
| 1508036526 | Complete Physical Therapy, LLC | Clinic/Center | 6309 Baltimore Ave, Suite 301, Riverdale, MD 20737-1059 | 2008-03-05 |
| Street Address |
809 N STATE ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39202-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861935546 | Cortney Dearman | Physical Therapy Assistant | 809 N State St, Jackson, MS 39202-2604 | 2016-11-29 |
| 1811287410 | Rebecca Lee Reynolds | Occupational Therapy Assistant | 809 N State St, Jackson, MS 39202-2604 | 2011-04-15 |
| 1063659340 | Mall Services, LLC | Community Health Worker | 809 N State St, Jackson, MS 39202-2604 | 2009-01-08 |
| 1235184169 | Niki T.s Singletary | Physical Therapist | 809 N State St, Jackson, MS 39202-2604 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
| 1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
| 1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
| Find all providers in zip 39202 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255943098 | Jackson Hole Sports Recovery LLC | Clinic/Center | 680 S Cache St Ste 100, Jackson, WY 83001-8694 | 2020-08-22 |
| 1528690971 | Excel Therapy of Nj Corp | Clinic/Center | 2080 West Countyline Rd, Jackson, NJ 08527-0870 | 2020-02-04 |
| 1073017935 | W. A. Foote Memorial Hospital, Inc | Clinic/Center | 1100 E Michigan Ave Ste 102, Jackson, MI 49201-1800 | 2018-03-23 |
| 1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
| 1699145490 | Inmotion Rehab, LLC | Clinic/Center | 5140 Galaxie Dr Ste 106, Jackson, MS 39206-4354 | 2015-10-06 |
| 1649613142 | Encore Rehabilitation, Inc. | Clinic/Center | 220 Hospital Dr Bldg B, Jackson, AL 36545-2459 | 2013-04-15 |
| 1730437187 | Unique Surfaces LLC | Clinic/Center | 654 Page Ave, Jackson, MI 49203-1943 | 2012-08-16 |
| 1457656639 | Grace Myofascial Clinic, LLC | Clinic/Center | 3000 Old Canton Rd Ste 240, Jackson, MS 39216-4235 | 2011-01-19 |
| 1699007658 | Andrea Marie Dillon | Clinic/Center | 120 West Pearl Avenue, Jackson, WY 83001 | 2010-02-02 |
| 1821222548 | Developmental Physical Therapy Services, LLC | Clinic/Center | 1355 Hoyt Ln, Jackson, WY 83001-9446 | 2009-05-09 |
| Find all providers in JACKSON | ||||
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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.