ADVANCE PHYSICAL THERAPY (NPI# 1457446445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457446445 |
| Entity Type | Organization |
| Organization Name | ADVANCE PHYSICAL THERAPY |
| Practice Address |
810 E Sunflower Rd Suite 150 Cleveland MS 38732 |
| Practice Telephone | 6628434990 |
| Practice Fax Number | 6628434954 |
| Mailing Telephone | 6628434990 |
| Mailing Fax Number | 6628434954 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-05-30 |
| Authorized Official Name | MR. DENNIS RYAN SHORT (VICE PRESIDENT) |
| Authorized Official Telephone | 6628434990 |
| Authorized Official Credential | P.T. |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09385726 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528199452 | Advance Physical Therapy | Physical Therapist | 4050 Milton Ave, Camillus, NY 13031 | 2007-03-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | ADVANCE PHYSICAL THERAPY | Wilder, VT |
| System for Award Management (SAM) Entities | ADVANCE PHYSICAL THERAPY & REHAB PC | 4035 Morel Dr, Cadillac, MI 49601-9309 |
| Iowa Business Entities | ADVANCE PHYSICAL THERAPY / BLESSING CORPORATE SERVICES / FORT MADISON COMMUNITY HOSPITAL, LLC | 225 Main Street, Keokuk, IA 52632 |
| Massachusetts Corporations | ADVANCE PHYSICAL THERAPY CLINIC, INC. | 70 Turner Street, Brockton, MA 02301 |
| Vermont Business Registrations | ADVANCE PHYSICAL THERAPY, P.C. | 6 Sam Remo Drive, So. Burlington, VT 05403 |
| Street Address |
810 E SUNFLOWER RD SUITE 150 |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831168350 | Paul Warrington | Family Medicine | 810 E Sunflower Rd, Suite 100a, Cleveland, MS 38732-2800 | 2006-03-16 |
| 1104332089 | Clare Adams Moore | Nurse Practitioner | 810 E Sunflower Rd, Cleveland, MS 38732-2800 | 2017-12-14 |
| 1366966228 | Matthew Jackson Mosow | Physical Medicine & Rehabilitation | 810 E Sunflower Rd, Suite 150, Cleveland, MS 38732 | 2017-08-01 |
| 1518394287 | Urgent Team Management of Cleveland, LLC | Clinic/Center | 810 E Sunflower Rd, Suite 100a, Cleveland, MS 38732-2800 | 2013-09-26 |
| 1467794578 | The Medical Technology Institute | Nurse Practitioner | 810 E Sunflower Rd, Suite J, Cleveland, MS 38732-2800 | 2013-03-27 |
| 1902176373 | Long Chiropractic Pllc | Chiropractor | 810 E Sunflower Rd, Suite 100 E, Cleveland, MS 38732-2800 | 2012-01-03 |
| 1184994634 | Joy Victoria Long | Chiropractor | 810 E Sunflower Rd, Suite 100e, Cleveland, MS 38732-2800 | 2011-12-30 |
| 1235414145 | Melanie King | Nurse Practitioner | 810 E Sunflower Rd, Suite 100a, Cleveland, MS 38732-2800 | 2011-10-12 |
| 1639477425 | Mary Cay Brooks Ely | Nurse Practitioner | 810 E Sunflower Rd, Ste 140, Cleveland, MS 38732-2800 | 2011-03-03 |
| 1851620249 | Vascular Access Center of Bolivar County LLC | Radiology | 810 E Sunflower Rd, Suite 100b, Cleveland, MS 38732-2800 | 2009-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273825 | Tremont Functional Rehab, LLC | Clinic/Center | 2401 Scranton Rd, Cleveland, OH 44113-4313 | 2020-07-22 |
| 1013396829 | Taylor Physical Therapy and Sports Health, LLC | Clinic/Center | 4949 Galaxy Pkwy, Suite S, Cleveland, OH 44128-5970 | 2015-05-26 |
| 1356720494 | Reform Physical Therapy and Pilates, LLC | Clinic/Center | 1213 Prospect Ave E, Cleveland, OH 44115-1258 | 2015-05-21 |
| 1558609354 | Agilitas Usa Inc | Clinic/Center | 3760 Ocoee Pl Nw Ste 101, Cleveland, TN 37312-5637 | 2013-01-29 |
| 1386832699 | Pit Stop Rehab,llc | Clinic/Center | 226 N Travis Ave, Cleveland, TX 77327-4198 | 2007-10-11 |
| 1184194185 | Cleveland Physical Therapy Corporation | Clinic/Center | 6829 Broadway Ave, Cleveland, OH 44105-1313 | 2018-12-03 |
| 1427528553 | Akoma Health LLC | Clinic/Center | 5908 Linwood Ave, Cleveland, OH 44103-3012 | 2018-12-02 |
| 1881077386 | Kaimee Devore | Clinic/Center | 10701 East Blvd, 1st Floor Cares Tower, Cleveland, OH 44106-1702 | 2015-07-01 |
| 1689057184 | Nick Anthony Proudfoot | Clinic/Center | 10701 East Blvd, Cares Tower, 1st Floor, Cleveland, OH 44106-1702 | 2015-07-01 |
| 1407275944 | Elizabeth Ann O'dougherty | Clinic/Center | 9500 Euclid Ave, Desk C22, Cleveland, OH 44195-0001 | 2014-04-14 |
| Find all providers in CLEVELAND | ||||
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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.