SENTRY REHAB, LLC (NPI# 1881015147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881015147 |
Entity Type | Organization |
Organization Name | SENTRY REHAB, LLC |
Practice Address |
106a Office Park Dr Brandon MS 39042-2404 |
Practice Telephone | 6018249010 |
Practice Fax Number | 6018249044 |
Mailing Telephone | 6018249010 |
Mailing Fax Number | 6018249044 |
Enumeration Date | 2014-01-03 |
Last Update Date | 2014-01-03 |
Authorized Official Name | MR. CAMERON DIRK GODDARD (AR MANAGER) |
Authorized Official Telephone | 6018249010 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831634518 | Sentry Rehab, LLC | Occupational Therapy Assistant | 106a Office Park Dr, Brandon, MS 39042-2404 | 2017-01-04 |
Street Address |
106A OFFICE PARK DR |
City | BRANDON |
State | MS |
Zip Code | 39042-2404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831634518 | Sentry Rehab, LLC | Occupational Therapy Assistant | 106a Office Park Dr, Brandon, MS 39042-2404 | 2017-01-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
Find all providers in zip 39042 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
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---|---|---|---|---|
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1396763215 | Physiotherapy Associates Inc | Clinic/Center | 134 E Bloomingdale Ave, Brandon, FL 33511-8101 | 2006-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780197939 | Healthy You Chiropractic and Rehabilitation Center | Clinic/Center | 411 Briarwood Dr Ste 401, Jackson, MS 39206-3058 | 2017-11-09 |
1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
1518400191 | Franklin County Memorial Hospital Dba Fc Sports and Therapy Center | Clinic/Center | 248 B Main St W, Meadville, MS 39653 | 2016-11-30 |
1023441078 | Mobility Benefit, LLC | Clinic/Center | 180 Williams Dr, Florence, MS 39073-9111 | 2013-08-14 |
1669814687 | Pinnacle Rehabilitation, LLC | Clinic/Center | 5 Northside Dr, Belmont, MS 38827-9201 | 2013-07-18 |
1528308418 | Aspire Rehab Group | Clinic/Center | 5908 Allen Rd Se, Mc Call Creek, MS 39647-5321 | 2013-02-28 |
1992021026 | Scherer Chiropractic LLC | Clinic/Center | 333 Sarepta Ln Nw, Meadville, MS 39653-8223 | 2010-04-14 |
1669656765 | North Mississippi Medcial Center, Inc. | Clinic/Center | 920 N Fourth St, Suite A, Baldwyn, MS 38824-1121 | 2007-12-26 |
1386769669 | Physiotherapy Associates Inc | Clinic/Center | 1308 Aston Ave, Mccomb, MS 39648-2826 | 2007-03-19 |
1275658544 | Physiotherapy Associates Inc | Clinic/Center | 631 Brookway Blvd, Brookhaven, MS 39601-2637 | 2007-03-19 |
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.