PROFESSIONAL REHAB ASSOCIATES (NPI# 1801192307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801192307 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL REHAB ASSOCIATES |
| Practice Address |
1301 A Harrison Ave Mccomb MS 39648 |
| Practice Telephone | 6012505455 |
| Practice Fax Number | 6012505453 |
| Mailing Telephone | 6012505455 |
| Mailing Fax Number | 6012505453 |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2019-06-04 |
| Authorized Official Name | MR. BRAD WILSON (PRESIDENT) |
| Authorized Official Telephone | 6012505455 |
| Authorized Official Credential | DPT, ATC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 01209052 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 631 Brookway Blvd, Brookhaven, MS 396012637 | 6019902087 | 6019902081 |
| Street Address |
1301 A HARRISON AVE |
| City | MCCOMB |
| State | MS |
| Zip Code | 39648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144477233 | Courtney Watson | Occupational Therapist | 1301 A Harrison Ave, Professional Rehab Associates, Mccomb, MS 39648 | 2008-08-20 |
| 1164782041 | Kelly H Martin | Physical Therapist | 1301 A Harrison Ave, Professional Rehab Associates, Mccomb, MS 39648 | 2012-05-24 |
| 1093011595 | Brad C Wilson | Physical Therapist | 1301 A Harrison Ave, Professional Rehab Associates, Mccomb, MS 39648 | 2011-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1427608769 | Benda Truvillion | Technician | 2128 Park Dr. Ext., Mccomb, MS 39648 | 2019-09-18 |
| 1295228187 | Edna Ruth Winston | Counselor | Sw Ms Mental Health Complex, 1701 White St, Mccomb, MS 39648 | 2018-06-14 |
| 1386153450 | Sholitha Nunnery | Counselor | 502 North Cherry Street, Mccomb, MS 39648 | 2017-09-21 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1891096236 | Zwound Care | Family Medicine | 1126 Country Club Road, Mccomb, MS 39648 | 2010-11-16 |
| 1588891717 | Kelly Edmondson | Physical Therapy Assistant | 1301a Harrison Ave, Mccomb, MS 39648 | 2009-06-15 |
| 1962647651 | Gwendolyn Michelle Brown | Home Health Aide | 1114 1/2 Venable St., Mccomb, MS 39648 | 2008-12-09 |
| Find all providers in zip 39648 | ||||
| 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 |
|---|---|---|---|---|
| 1306044565 | Therapy First of Mccomb | Physical Therapist | 410 Delaware Ave, Mccomb, MS 39648-4021 | 2007-07-10 |
| 1811990732 | Wendy Haydel Blue | Physical Therapist | 300 Rawls Dr, Ste 700a, Mccomb, MS 39648-2872 | 2005-05-24 |
| 1093359648 | Karen Alicia Hart | Physical Therapist | 1301a Harrison Ave, Mccomb, MS 39648-2829 | 2019-11-06 |
| 1881238574 | Selena Smith | Physical Therapist | 415 Marion Ave, Mccomb, MS 39648-2709 | 2019-11-05 |
| 1932681244 | Robin Bonds | Physical Therapist | 415 Marion Ave, Mccomb, MS 39648-2709 | 2018-09-04 |
| 1023557576 | Emily Troxler | Physical Therapist | 501 S Locust St, Mccomb, MS 39648-4336 | 2017-02-16 |
| 1033530514 | Taneshia Jones | Physical Therapist | 501 S Locust St, Mccomb, MS 39648-4336 | 2013-12-30 |
| 1164782041 | Kelly H Martin | Physical Therapist | 1301 A Harrison Ave, Professional Rehab Associates, Mccomb, MS 39648 | 2012-05-24 |
| 1093011595 | Brad C Wilson | Physical Therapist | 1301 A Harrison Ave, Professional Rehab Associates, Mccomb, MS 39648 | 2011-01-31 |
| 1518192665 | Sandy Summers | Physical Therapist | 695 Minnesota Ave, Mccomb, MS 39648-4044 | 2009-05-19 |
| Find all providers in MCCOMB | ||||
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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.