MRS. EMILY CUSTER (NPI# 1427404284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427404284 |
| Entity Type | Individual |
| Full Name | MRS. EMILY CUSTER |
| Credential | MS,PT |
| Practice Address |
216 Madison Ridge Rd Vicksburg MS 39180-3400 |
| Practice Telephone | 6018312360 |
| Mailing Telephone | 6018312360 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT3255 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT3255 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932966 | Emily Anne Custer | Behavior Technician | 1070 Range Rd, Port Huron, MI 48060-4606 | 2019-10-01 |
| 1225435969 | Emily A Custer | Counselor | 1341 Market Ave N, Canton, OH 44714 | 2014-11-24 |
| Street Address |
216 MADISON RIDGE RD |
| City | VICKSBURG |
| State | MS |
| Zip Code | 39180-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255877346 | Elite Performance and Rehab, LLC | Clinic/Center | 1901 A Mission 66, Vicksburg, MS 39180 | 2017-01-12 |
| 1679931083 | Heather M Anderson | Physician Assistant | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 | 2016-02-01 |
| 1245604941 | Warren County Assn.for Retarded Citizens, Inc. | Day Training, Developmentally Disabled Services | 100 Smokey Lane, Vicksburg, MS 39180 | 2015-11-18 |
| 1386012904 | Brian Oliver Snowden | Counselor | 3530 Manor Dr Ste 5a, Vicksburg, MS 39180 | 2015-09-14 |
| 1962802710 | Jordan P. Crocker, D.m.d., Pllc | Clinic/Center | 109 Monument Place, Vicksburg, MS 39180 | 2014-08-29 |
| 1821434259 | Trisha Addison | Physical Therapist | 2222 South Frontage Road, Suite D, Vicksburg, MS 39180 | 2013-05-13 |
| 1073862157 | Laura Jeanne Briggs | Physical Therapist | 1901-a Mission 66, Vicksburg, MS 39180 | 2012-09-05 |
| 1912175258 | Andrea T. Harris | Counselor | Warren-yazoo Mental Health Service, 3444 Wisconsin Ave., Vicksburg, MS 39180 | 2008-02-20 |
| 1922217314 | Austin Family Dentistry | Dentist | 3040 Indiana Ave, Vicksburg, MS 39180 | 2007-05-22 |
| 1063539138 | Ollie Hardaway Jr. | Dentist | 154 Cottonwood Street, Vicksburg, MS 39180 | 2007-03-23 |
| Find all providers in zip 39180 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376916544 | Tracie Lee Thornton | Physical Therapist | 11 Dempsey Conn Rd, Hattiesburg, MS 39401-9041 | 2015-11-09 |
| 1407270333 | Creative Connections, Pllc | Physical Therapist | 4094 W Topisaw S, Summit, MS 39666-9785 | 2014-02-12 |
| 1184976037 | Kalyn Mcnair Dragon | Physical Therapist | 11845 River Estates Cir, Biloxi, MS 39532-8603 | 2012-10-02 |
| 1780978502 | Sporty Sprouts Inc | Physical Therapist | 104 Faith Way, Brandon, MS 39042-8676 | 2011-06-09 |
| 1962739722 | Coastal Plains Interagency Coordinating Council | Physical Therapist | 4063 Ginger Drie, Suite A, D'lberville, MS 39540-3705 | 2009-11-15 |
| 1174721047 | Kimberly Garrett Cooper | Physical Therapist | 112 Riverbend Cv, Brandon, MS 39047-8647 | 2007-07-03 |
| 1447371877 | Bethany B. Dill | Physical Therapist | 3815 Beauville Cv, Ocean Springs, MS 39564-8583 | 2007-04-03 |
| 1417560913 | Mckenzie Alexandra Mcclanahan | Physical Therapist | 1751 Dancy Blvd Ste 2, Horn Lake, MS 38637-1916 | 2020-08-25 |
| 1629680277 | Elizabeth Sueing C Sueing | Physical Therapist | 83 Airways Pl, Southaven, MS 38671-5885 | 2020-08-17 |
| 1336758267 | Rachel Blake Tyrone | Physical Therapist | 83 Airways Pl, Southaven, MS 38671-5885 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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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.