Exos Physical Therapy & Sports Medicine, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EXOS PHYSICAL THERAPY & SPORTS MEDICINE, LLC

Practice address

6542 Goodman Rd Ste 101
Olive Branch, MS 38654-5559

Phone

(205) 259-3991

NPI assigned

Nov 30, 2017

Organization subpart

No

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

Authorized official

Name

Greg Perry

Title

President

Phone

(205) 259-3991

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• James A Godin, PT

  • Physical Therapist
  • Lithia, FL
  • NPI 1699906982
  NPD (past)

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1053825943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BAY ST",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350453000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6542 GOODMAN RD STE 101",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386545559",
            "telephone_number": "205-259-3991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16627 Fishhawk Blvd",
            "address_purpose": "LOCATION",
            "city": "Lithia",
            "state": "FL",
            "postal_code": "335473800",
            "country_code": "US",
            "telephone_number": "205-259-3991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXOS PHYSICAL THERAPY & SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-259-3991"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Ellis, APRN
• Tina Marie Erber, PT
• Deborah Lynne Evans, PT
• L Gregory Evans, DDS
• Excellence Concierge Medicine LLC
• Exos Physical Therapy and Sports Medicine, LLC
• Eye Care Surgery Center of Olive Branch,LLC
• Eyedok LLC
• Fab Enterprises LLC
• Fairuza Zan Trust

• Physical Therapist in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.