MEDICOMP, INC (NPI# 1487989950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487989950 |
| Entity Type | Organization |
| Organization Name | MEDICOMP, INC |
| Other Organization Name | MEDICOMP PHYSICAL THERAPY MADISON |
| Practice Address |
1 Woodgreen Pl Ste 101 Madison MS 39110-8161 |
| Mailing Address |
110 Pioneer Way Magee MS 39111 |
| Practice Telephone | 6016051126 |
| Practice Fax Number | 6016051891 |
| Mailing Telephone | 6018496440 |
| Mailing Fax Number | 6018491969 |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2014-02-04 |
| Authorized Official Name | MR. JOSEPH S MCNULTY III (CEO) |
| Authorized Official Telephone | 6018496440 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDICOMP, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 953632 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 953632 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Medicomp Physical Therapy Madison | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396100970 | Medicomp, Inc | Clinic/Center | 1570 Hwy 8 and 89 North, Danbury, NC 27016-7360 | 2015-12-23 |
| 1154703650 | Medicomp, Inc | Physical Therapist | 9425 Eastside Drive Ext Ste B, Newton, MS 39345-8069 | 2015-06-22 |
| 1588042451 | Medicomp, Inc | Physical Therapist | 513 W Marion Ave, Crystal Springs, MS 39059-2748 | 2015-05-12 |
| 1548305360 | Medicomp, Inc | Clinic/Center | 110 Pioneer Way, Magee, MS 39111 | 2007-02-20 |
| 1346332574 | Medicomp, Inc | Clinic/Center | 7381 Siwell Rd, Ste A, Byram, MS 39272-8974 | 2006-09-28 |
| 1144338070 | Medicomp, Inc | Clinic/Center | 1054 Greymont Ave, Jackson, MS 39202-2718 | 2006-08-29 |
| 1952783458 | Medicomp, Inc | Physical Therapist | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2015-06-22 |
| 1598143109 | Medicomp, Inc | Physical Therapist | 505 W Main St, West Point, MS 39773-2755 | 2015-05-14 |
| 1457738429 | Medicomp, Inc | Physical Therapist | 1112b Maria Ln, Iuka, MS 38852-1119 | 2015-04-29 |
| 1750774493 | Medicomp, Inc | Physical Therapist | 236 Caldwell Dr, Hazlehurst, MS 39083-2723 | 2015-03-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDICOMP, INC. | 600 Atlantis Rd, Melbourne, FL 32904-2315 |
| Washington State Corporations | MEDICOMP, INC. | 711 Capitol Way S Ste 204, Olympia, WA 98501 |
| Street Address |
1 WOODGREEN PL STE 101 |
| City | MADISON |
| State | MS |
| Zip Code | 39110-8161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891822474 | James Derek White | Dentist | 1 Woodgreen Pl, Suite 100, Madison, MS 39110-8161 | 2007-02-28 |
| 1396281069 | Justin Lyle Hobbs | Physical Therapist | 1 Woodgreen Pl, #101, Madison, MS 39110-8161 | 2017-01-18 |
| 1144685561 | Sleepworks, Inc. | Physiological Laboratory | 1 Woodgreen Pl, Suite 211, Madison, MS 39110-8161 | 2015-12-30 |
| 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 | 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 |
|---|---|---|---|---|
| 1972102937 | Kathleen Jerry | Physical Therapist | 4414 Dwight Dr Apt 5, Madison, WI 53704-3561 | 2020-10-21 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1508494881 | Jennifer S Resner | Physical Therapist | 7707 N Brookline Dr, Madison, WI 53719-3510 | 2020-03-31 |
| 1457999898 | Catherine Meyers | Physical Therapist | 44 Hughes Rd Ste 1400, Madison, AL 35758-2222 | 2019-12-17 |
| 1194361816 | Jaivikaben Patel | Physical Therapist | 5104 Brookside Dr Apt 205, Madison, WI 53718-1903 | 2019-11-18 |
| 1205481124 | Ian Carroll | Physical Therapist | 1919 Gallatin Pike N Ste 102, Madison, TN 37115-2064 | 2019-08-07 |
| 1053977975 | Meeta Ravi Loya | Physical Therapist | 502 Plaza Dr Unit 114, Madison, WI 53719-3831 | 2019-05-15 |
| 1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
| 1619443801 | Logan Thorp | Physical Therapist | 5565 Tancho Dr, Madison, WI 53718-1901 | 2018-10-16 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 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.