Southern Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3956 Issued in MS

Legal business name

SOUTHERN PHYSICAL THERAPY, LLC

Practice address

7 Willow Bend Dr
Hattiesburg, MS 39402-8552

Phone

(601) 336-8287

NPI assigned

Mar 16, 2012

Last updated

Feb 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Janice T. Tregre, DPTNPI 1336356831

Title

Owner

Phone

(601) 336-8287

Specialties & licenses 1

Addresses

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.

• Janice Tregre, DPT

  • Physical Therapist
  • Hattiesburg, MS
  • NPI 1336356831
  Authorized official Same address or phone

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1023383569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WILLOW BEND DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028552",
            "telephone_number": "601-336-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WILLOW BEND DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028552",
            "telephone_number": "601-336-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "TREGRE",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-336-8287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT3956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.