2083 THERAPY, LLC (NPI# 1366951139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366951139 |
Entity Type | Organization |
Organization Name | 2083 THERAPY, LLC |
Other Organization Name | 2083 THERAPY OF MADISON |
Practice Address |
1 Woodgreen Pl Ste 101 Madison MS 39110-8161 |
Mailing Address |
110 Pioneer Way Magee MS 39111-5501 |
Practice Telephone | 6016051126 |
Mailing Telephone | 6018496440 |
Enumeration Date | 2017-09-25 |
Last Update Date | 2017-09-25 |
Authorized Official Name | JOSEPH S MCNULTY IV (CEO) |
Authorized Official Telephone | 6018496440 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
2083 Therapy of Madison | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1811406093 | 2083 Therapy, LLC | Clinic/Center | 1129 Ms-35 #2, Forest, MS 39074-4006 | 2017-09-20 |
1821568791 | 2083 Therapy, LLC | Clinic/Center | 1151 Highway 35 S, Forest, MS 39074-8829 | 2018-12-04 |
1609389576 | 2083 Therapy, LLC | Clinic/Center | 505 W Main St, West Point, MS 39773-2755 | 2017-11-14 |
1235642141 | 2083 Therapy, LLC | Clinic/Center | 70 Highway 25 S, Aberdeen, MS 39730-9033 | 2017-11-14 |
1528577392 | 2083 Therapy, LLC | Clinic/Center | 513 W Marion Ave, Crystal Springs, MS 39059-2748 | 2017-09-25 |
1225547227 | 2083 Therapy, LLC | Clinic/Center | 710 Main St Ste 10, Collins, MS 39428-6293 | 2017-09-22 |
1134638307 | 2083 Therapy, LLC | Clinic/Center | 357 Simpson Highway 149, Magee, MS 39111-3877 | 2017-09-20 |
1174042360 | 2083 Therapy, LLC | Clinic/Center | 236 Caldwell Dr, Hazlehurst, MS 39083-2723 | 2017-09-19 |
Street Address |
1 WOODGREEN PL STE 101 |
City | MADISON |
State | MS |
Zip Code | 39110-8161 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437547874 | Michael R Brown | Physical Therapist | 1 Woodgreen Pl Ste 101, Madison, MS 39110 | 2015-01-08 |
1508370834 | Enduracare Acute Care Services LLC | Clinic/Center | 1 Woodgreen Pl Ste 101, Madison, MS 39110-8161 | 2017-11-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
Find all providers in zip 39110 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568078780 | Streamline Physical Therapy | Clinic/Center | 5806 Crabapple Ln, Madison, WI 53711-3437 | 2020-09-22 |
1427605146 | Peak Endurance | Clinic/Center | 15 N Butler St, Madison, WI 53703-4237 | 2019-08-19 |
1508327289 | Body Moksha Physical Therapy | Clinic/Center | 42 Main St Apt 2, Madison, NJ 07940-1887 | 2019-03-26 |
1043787294 | Madison Orthopedic Rehab | Clinic/Center | 219 Clifty Dr, Madison, IN 47250-1603 | 2018-10-25 |
1831681410 | Legacy Physical Therapy, Inc | Clinic/Center | 3825 Sullivan Street, Suite 2, Madison, AL 35747-3147 | 2018-05-31 |
1033630199 | Deliver Therapy and Rehabilitation, LLC | Clinic/Center | 6666 Odana Rd # 261, Madison, WI 53719-1012 | 2017-06-29 |
1063932408 | The Range Physical Therapy, LLC | Clinic/Center | 10801 County Line Rd, Madison, AL 31322 | 2017-06-27 |
1558752949 | My 180 Health, LLC | Clinic/Center | 1618 Slaughter Road, Madison, Madison, AL 35758 | 2015-02-07 |
1871767913 | Taylor Creek Physical Therapy LLC | Clinic/Center | 119 Saddle Ln, Madison, NE 68748-6346 | 2008-04-19 |
1316121601 | Arc Therapy Services LLC | Clinic/Center | 413 S Yellowstone Dr, Madison, WI 53719-1042 | 2007-12-21 |
Find all providers in MADISON |
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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.