PT Efit LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT0841 Issued in MS

Legal business name

PT EFIT LLC

Practice address

1735 Richard Dr
Room 123B
Biloxi, MS 39532-4400

Phone

(228) 392-0228

NPI assigned

Jan 15, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Rodney Keith Ganey, PT

Title

Physical Therapist/Owner

Phone

(228) 392-0228

Specialties & licenses 3

Addresses

Other names 1

• PT@Efitness Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Celeste Ann Gardner, P.T.

  • Specialist
  • Biloxi, MS
  • NPI 1396073110
  NPD (past)
• Karen E. Merkle, PT

  • Physical Therapist
  • Long Beach, MS
  • NPI 1194948760
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1003053802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6157",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395406157",
            "telephone_number": "228-392-0228",
            "fax_number": "228-392-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 RICHARD DR",
            "address_2": "ROOM 123B",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395324400",
            "telephone_number": "228-392-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT EFIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "GANEY",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "228-392-0228",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MS",
            "license": "PT0841",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MS",
            "license": "PT0926",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MS",
            "license": "PT0500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PT@Efitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Briana Diane Pucheu, FNP
• Nicholas Alexander Pukish Jr., PA-C
• Sreelatha R. Pulakhandam, M.D.
• Nicholas Pulciano, DO
• Pure Smiles Biloxi, Inc.

• Physical Therapy Clinic/Center in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Physical Therapy Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.