Community Rehab of Greenville Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

COMMUNITY REHAB OF GREENVILLE INC

Practice address

3313 Market St
Pascagoula, MS 39567

Phone

(228) 762-1936

Fax

(228) 762-1926

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Melanie L Fayard, P.T.

Title

Vice President

Phone

(228) 436-0999

Specialties & licenses 1

Addresses

Other names 1

• SEASIDE PHYSICAL THERAPY Doing business as

Tax ID family

Community Rehab of Greenville Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Community Rehab of Greenville Inc

  • Physical Therapist
  • Gulfport, MS
  • NPI 1447439070
  NPD tax ID

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053533570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7066",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395077066",
            "telephone_number": "228-436-0999",
            "fax_number": "228-436-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 MARKET ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "39567",
            "telephone_number": "228-762-1936",
            "fax_number": "228-762-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY REHAB OF GREENVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAYARD",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "228-436-0999",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEASIDE PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cochran Counseling Services LLC
• Gina Cochran, LPC
• Melissa Ruth Cochran, WHNP
• Joshua Coker, M.D.
• Devon Elijah Coleman, DMD
• Complete Health Urgicare, Inc
• John T Connors, NP-C
• Controlex Enterprises, Inc.
• Controlex Enterprises, Inc.
• Controlex Entrprises, Inc

• Physical Therapy Clinic/Center in Pascagoula, MS
• Providers in Pascagoula, 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 Aug 22, 2020; 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.