Organization Active NPI

Ally Therapy Specialists, LLC

  • Home Health Agency
  • Senatobia, MS
National Provider Identifier
1013454065
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
OT2229 Issued in MS
Legal business name
ALLY THERAPY SPECIALISTS, LLC
Practice address
100 W Main St
Senatobia, MS 38668-2115
Phone
(662) 288-1170
NPI assigned
Jan 30, 2017
Last updated
Apr 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Mr. Kelvin MooreNPI 1194987529
Title
Manager
Phone
(662) 288-1170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OT2229 MS Primary

Addresses

Primary practice location

100 W Main St
Senatobia, MS 38668-2115

Mailing address

PO Box 22
Senatobia, MS 38668-0022
Phone (662) 288-1170

Other names 1

  • Ally Therapy Specialist Former legal business name

National Provider Directory

National Provider Directory

Locations

100 W Main St
Senatobia, MS 38668
Phone (662) 288-1170

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1013454065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386680022",
            "telephone_number": "662-288-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682115",
            "telephone_number": "662-288-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLY THERAPY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "662-288-1170",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MS",
            "license": "OT2229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ally Therapy Specialist",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Ally Therapy Specialist",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Senatobia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.