FAMILY PHYSICAL THERAPY OF SOUTH MS LLC (NPI# 1932362324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932362324 |
| Entity Type | Organization |
| Organization Name | FAMILY PHYSICAL THERAPY OF SOUTH MS LLC |
| Practice Address |
100-a La Rosa Rd Long Beach MS 39560 |
| Practice Telephone | 2288634080 |
| Practice Fax Number | 2288634014 |
| Mailing Telephone | 2288634080 |
| Mailing Fax Number | 2288634014 |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2008-07-07 |
| Authorized Official Name | MR. STEVEN HARRY MYERS (OWNER CLINIC DIRECTOR PHYSICAL THER) |
| Authorized Official Telephone | 2288634080 |
| Authorized Official Credential | MSPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT3128 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00356883 | 05 |
| Street Address |
100-A LA ROSA RD |
| City | LONG BEACH |
| State | MS |
| Zip Code | 39560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336660786 | Vitas Laboratory LLC | Clinical Medical Laboratory | 2048 Pineville Road, Suite B, Long Beach, MS 39560 | 2017-07-06 |
| 1760889554 | Laura Catherine Ranson | Physical Therapist | 2 Tower Plaz, Suite B, Community Rehab Center, Long Beach, MS 39560 | 2014-11-24 |
| 1073803714 | Kathleen Ann Williams | Pharmacist | Riteaid #7227 Pharmacy 200 West Railroad St, Suite B, Long Beach, MS 39560 | 2011-04-14 |
| 1609177179 | Robert William Wylie | Hearing Instrument Specialist | 100 Larosa Rd, Ste D, Long Beach, MS 39560 | 2010-11-15 |
| 1891026498 | James Paul Bertinato | Speech-Language Pathologist | 20337 Longview Rd, Long Beach, MS 39560 | 2010-01-21 |
| 1639317274 | Robert A Wiemer Jr. | Pain Medicine | 528-f Klondike Road, Long Beach, MS 39560 | 2009-02-03 |
| 1952589863 | Miller-whitmer Family Chiropractic | Chiropractor | 125 Jeff Davis Avenue, Long Beach, MS 39560 | 2008-02-01 |
| 1528267333 | Rachel S Conrad Md PC | Family Medicine | 100a Larosa, Long Beach, MS 39560 | 2007-07-12 |
| 1386720241 | Betty Diane Edrington | Registered Nurse | 2 Tower Plaza, Pineville Road, Long Beach, MS 39560 | 2006-10-31 |
| 1508947789 | Jennifer Kathryn Cameron | Pharmacist | 209 North Cleveland Ave., Long Beach, MS 39560 | 2006-10-17 |
| Find all providers in zip 39560 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386206316 | Jonathan T Truong | Physical Therapist | 2111 Tevis Ave, Long Beach, CA 90815-3352 | 2019-06-29 |
| 1073928636 | Trevor Lapaglia | Physical Therapist | 5901 E 7th St # P117, Long Beach, CA 90822-5201 | 2014-06-23 |
| 1730383506 | Susan Mais-requejo | Physical Therapist | 2819 Josie Ave, Long Beach, CA 90815-1515 | 2007-06-13 |
| 1780750778 | Julie Jean Gee | Physical Therapist | 5470 E 2nd St, D, Long Beach, CA 90803-3925 | 2006-11-28 |
| 1295200525 | Dana Kanemaru | Physical Therapist | 2017 Palo Verde Ave Ste 101, Long Beach, CA 90815-3300 | 2018-10-13 |
| 1841687803 | Julie Ann Frontiera | Physical Therapist | 2760 Atlantic Ave, Long Beach, CA 90806-2755 | 2015-04-16 |
| 1477961159 | Michelle Schwier | Physical Therapist | 2760 Atlantic Ave, Long Beach, CA 90806-2755 | 2014-07-26 |
| 1295072064 | Betina Bishop Bain | Physical Therapist | 6695 E Pacific Coast Hwy, Suite 100, Long Beach, CA 90803-4235 | 2013-01-13 |
| 1114273117 | Krishma Dholakia | Physical Therapist | 4010 Orange Ave, Long Beach, CA 90807-3717 | 2012-07-27 |
| 1891008090 | Travis Joseph Smith | Physical Therapist | 3900 E Pacific Coast Hwy, Long Beach, CA 90804-2013 | 2010-07-16 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 39560 |
Please comment or provide details below to improve the information on FAMILY PHYSICAL THERAPY OF SOUTH MS LLC.
| 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.