Organization Active NPI

Drayer Physical Therapy Institute LLC

  • Physical Therapist
  • Brandon, MS
National Provider Identifier
1003283714
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DRAYER PHYSICAL THERAPY INSTITUTE LLC
Practice address
1220 N Shore Pkwy
Suite B
Brandon, MS 39047-6383
Phone
(601) 829-0505
Fax
(601) 829-0506
NPI assigned
Aug 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Authorized official

Name
Eric J Williams
Title
President and Ceo
Phone
(717) 220-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1220 N Shore Pkwy
Suite B
Brandon, MS 39047-6383

Mailing address

1220 N Shore Pkwy
Suite B
Brandon, MS 39047-6383
Phone (601) 829-0505

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1003283714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 N SHORE PKWY",
            "address_2": "SUITE B",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476383",
            "telephone_number": "601-829-0505",
            "fax_number": "601-829-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N SHORE PKWY",
            "address_2": "SUITE B",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476383",
            "telephone_number": "601-829-0505",
            "fax_number": "601-829-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAYER PHYSICAL THERAPY INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "717-220-2100"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.