PREMIER REHAB (NPI# 1144340548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144340548 |
| Entity Type | Organization |
| Organization Name | PREMIER REHAB |
| Practice Address |
230 Beasley Rd Jackson MS 39206-2944 |
| Mailing Address |
1054 Highland Cove Pl Ridgeland MS 39157-1523 |
| Practice Telephone | 6016366019 |
| Practice Fax Number | 6016648457 |
| Mailing Telephone | 6016366019 |
| Mailing Fax Number | 6016618457 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARCUS T HARRIS (OWNER) |
| Authorized Official Telephone | 6016366019 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 225100000X | Physical Therapist | PT3192 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 225100000X | Physical Therapist | PT3573 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 225X00000X | Occupational Therapist | OT2017 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811292865 | Premier Rehab | Custodial Care Facility | 211 E Worthy St Bldg 4, Gonzales, LA 70737-4232 | 2011-01-24 |
| 1790921724 | Premier Rehab | Clinic/Center | 500 West Countyline Rd, Tougaloo, MS 39174 | 2008-12-22 |
| 1073818399 | Premier Rehab | Custodial Care Facility | 1125 Paul Maillard Rd, Luling, LA 70070-4351 | 2011-01-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PREMIER REHAB ASSOCIATES PC | 152 West 77th Street, Apt #1, New York, Ny 10024 |
| Indiana Business Entities | PREMIER REHAB INDIANA, INC. | 2154 Cousteau Drive, West Lafayette, IN 47906-5197 |
| Indiana Business Entities | PREMIER REHAB LLC | 2154 Cousteau Drive, West Lafayette, IN 47906-5197 |
| Connecticut Business Registrations | PREMIER REHAB SOLUTIONS, LLC | 453 West River St., Milford, CT 06460 |
| New York State Corporations | PREMIER REHAB SOLUTIONS, LLC | 255 Warner Ave, Roslyn Heights, Ny 11577 |
| Massachusetts Corporations | PREMIER REHABILITATION CENTERS, INC. | Prentice Hall Corporation Syst, 1013 Centre Rd., Wilmington, DE 19805 |
| Street Address |
230 BEASLEY RD |
| City | JACKSON |
| State | MS |
| Zip Code | 39206-2944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023661824 | Latoya Lanette Trunell | Occupational Therapy Assistant | 787 East Northside Drive, Jackson, MS 39206 | 2019-07-20 |
| 1649839291 | Andrew Harris | Dentist | 4505 I-55 Frontage Rd. N, Jackson, MS 39206 | 2019-06-07 |
| 1679065916 | Savannah Lee Zachry | Physical Therapist | 5140 Galaxie Dr Ste 108, Jackson, MS 39206 | 2018-06-02 |
| 1669987723 | Harmony House Calls LLC | Nurse Practitioner | 5140 Galaxie Dr Ste 105, Jackson, MS 39206 | 2017-12-11 |
| 1841719903 | Yolanda Yvette Bell | Nurse Practitioner | 6064 Whitestone Rd, Jackson, MS 39206 | 2017-09-10 |
| 1760907117 | Anthony Brown Jr. | Physical Therapist | 5411 I-55 North, Jackson, MS 39206 | 2017-08-07 |
| 1114457132 | Ambric N Williams | Occupational Therapy Assistant | 6017 Whitestone Rd, Jackson, MS 39206 | 2017-06-13 |
| 1952835613 | Peak Chiropractic Care, LLC | Chiropractor | 4915 I-55 North, Suite 201b, Jackson, MS 39206 | 2017-04-19 |
| 1447798293 | Peterkin and Associates of Mississippi Inc | Community/Behavioral Health | 5155 Galaxie Drive, Suite F, Jackson, MS 39206 | 2017-02-01 |
| 1952844219 | Jennifer Penick | Counselor | 460 Briarwood Drive, Suite 510, Jackson, MS 39206 | 2016-11-18 |
| Find all providers in zip 39206 | ||||
| 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 |
|---|---|---|---|---|
| 1922609288 | Kristen Nicole Frank | Physical Therapist | 2290 W County Line Rd Ste 215, Jackson, NJ 08527-2267 | 2020-11-03 |
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1053877001 | Kira Fitchpatrick | Physical Therapist | 5225 Highway 18 W Ste C, Jackson, MS 39209-9447 | 2019-02-14 |
| 1649741521 | Damodharan Peram | Physical Therapist | 2040 Cascade Woods Dr, Jackson, MI 49203-3773 | 2018-12-17 |
| 1205308186 | Mitali Patel | Physical Therapist | 3506 Bluebell Ln Apt 32, Jackson, MI 49201-7294 | 2018-12-17 |
| 1164990735 | Shareen Challapalli | Physical Therapist | 100 E Michigan Ave Ste 400, Jackson, MI 49201-1498 | 2018-11-13 |
| 1326520255 | Sarah Chalnick | Physical Therapist | 2290 W County Line Road Suite 215, Jackson, NJ 08527 | 2018-09-06 |
| 1487134516 | William White | Physical Therapist | 85 Stonebrook Pl Ste B, Jackson, TN 38305-3653 | 2018-08-17 |
| 1457847683 | R. Jason Kent Physical Therapy, LLC | Physical Therapist | 794 Mcdonough Rd Ste 108b, Jackson, GA 30233-1572 | 2018-07-11 |
| 1679065916 | Savannah Lee Zachry | Physical Therapist | 5140 Galaxie Dr Ste 108, Jackson, MS 39206 | 2018-06-02 |
| 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.