PHYSICAL THERAPY CLINIC OF GULFPORT (NPI# 1841215670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841215670 |
| Entity Type | Organization |
| Organization Name | PHYSICAL THERAPY CLINIC OF GULFPORT |
| Practice Address |
3506 Washington Ave Ste. D Gulfport MS 39507-3103 |
| Practice Telephone | 2288630200 |
| Practice Fax Number | 2288630809 |
| Mailing Telephone | 2288630200 |
| Mailing Fax Number | 2288630809 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-07-02 |
| Authorized Official Name | MR. STEVEN W HOLLAND (PHYSICAL THERAPIST, OWNER) |
| Authorized Official Telephone | 2288630200 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT1574 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3506 WASHINGTON AVE STE. D |
| City | GULFPORT |
| State | MS |
| Zip Code | 39507-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609827054 | Steven William Holland | Physical Therapist | 3506 Washington Ave, Suite D, Gulfport, MS 39507-3103 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609389105 | Karen R Burns | Speech-Language Pathologist | 3506 Washington Avenue, Ste E, Gulfport, MS 39507 | 2017-11-07 |
| 1538605027 | Andrea Broussard | Personal Emergency Response Attendant | 406 Pass Rd, Gulfport, MS 39507 | 2017-01-09 |
| 1366872491 | William Alexis Marcia | Pharmacist | 1444 East Pass Road, Gulfport, MS 39507 | 2013-11-27 |
| 1740599380 | Advanced Hearing Systems, Inc. | Hearing Instrument Specialist | 401 Security Square, Gulfport, MS 39507 | 2010-09-30 |
| 1497068118 | Stacey Ritter Carter | Dentist | 1635 East Pass Road, Gulfport, MS 39507 | 2010-07-22 |
| 1477789964 | Letonoff Orthopaedics & Sports | Orthopaedic Surgery | 452 Court House Road, Suite G, Gulfport, MS 39507 | 2009-06-10 |
| 1730385139 | Bernard Frederick Podlin | Dentist | 400 Pass Road, Gulfport, MS 39507 | 2007-06-22 |
| 1043422553 | Mark D Stringer | Dentist | 520-a Courthouse Road, Gulfport, MS 39507 | 2007-05-04 |
| 1154543528 | Pass Road Elementary | Registered Nurse | 37 Pass Road, Gulfport, MS 39507 | 2007-05-03 |
| 1417073768 | John Hough Hopkins | Dentist | 3303 A Ave, Gulfport, MS 39507 | 2007-03-21 |
| Find all providers in zip 39507 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972857712 | David Scott Mcintosh | Physical Therapist | 4500 13th St, Gulfport, MS 39501-2515 | 2012-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245754092 | Ryan Steven Clayton | Physical Therapist | 90a Clark St, Tupelo, MS 38804-4812 | 2017-08-02 |
| 1467835686 | James Fehrenbacher | Physical Therapist | 702 Treeline Dr, Brandon, MS 39042-4036 | 2015-07-07 |
| 1790109080 | Richard Dymond Jr. | Physical Therapist | 2781 Ct Switzer Rd., Biloxi, MS 39531 | 2014-02-07 |
| 1932362324 | Family Physical Therapy of South Ms LLC | Physical Therapist | 100-a La Rosa Rd, Long Beach, MS 39560 | 2008-07-07 |
| 1205914009 | Joe Gregg Jones | Physical Therapist | 1702 Highway 11 N Ste B, Picayune, MS 39466-2016 | 2006-11-01 |
| 1619051315 | Vincent E Cheshire | Physical Therapist | 1702 Highway 11 N, Suite B, Picayune, MS 39466-2016 | 2006-10-25 |
| 1811514599 | Steven Cialone | Physical Therapist | 2470 Flowood Dr, Flowood, MS 39232-9019 | 2020-06-29 |
| 1427523901 | Robyn Mackenzie Taylor | Physical Therapist | 206b Oxford Rd, New Albany, MS 38652-3115 | 2018-10-10 |
| 1225403579 | Jodie Orr | Physical Therapist | 401 Southcrest Cir, Southaven, MS 38671-6726 | 2015-12-10 |
| 1821474438 | John Horlock | Physical Therapist | 1325 E Fortification St, Po Drawer 16870, Jackson, MS 39202-2442 | 2015-08-05 |
| 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.