S. Keith Holton, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

S. KEITH HOLTON, PLLC

Doing business as

MAGNOLIA OUTPATIENT REHABILITATION

Practice address

2205 5TH St N
Columbus, MS 39705-2211

Phone

(662) 243-1097

Fax

(662) 243-1095

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Nicole Holton

Title

Office Manager

Phone

(662) 243-1097

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MAGNOLIA OUTPATIENT REHABILITATION Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 4

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

• Stephen Keith Holton, P.T.

  • Physical Therapist
  • Columbus, MS
  • NPI 1548271661
  NPD
• Mary Margaret Crowson, PT, DPT

  • Physical Therapist
  • Starkville, MS
  • NPI 1033407044
  NPD (past)
• Leslie Johnston

  • Physical Therapist
  • Tupelo, MS
  • NPI 1831503127
  NPD (past)
• Megan Siems, PT

  • Physical Therapist
  • Columbus, MS
  • NPI 1881008027
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1063596518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052211",
            "telephone_number": "662-243-1097",
            "fax_number": "662-243-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052211",
            "telephone_number": "662-243-1097",
            "fax_number": "662-243-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. KEITH HOLTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "HOLTON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-243-1097"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015582",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MS PROV NUMBER",
            "identifier": "212664314B",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAGNOLIA OUTPATIENT REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Rushing, NP
• John Russell III, D.M.D.
• Clara Jean Rustin, NURSE PRACTITIONER
• RXS Columbus LLC
• S & B Discount Drugs of Columbus, Inc
• Aaron Josias Salazar
• Faga Samdumu
• Sanders Counseling Associates LLC
• Cameron Renee Sanders, PHARMD
• India Keshuna Sanders

• Physical Therapy Clinic/Center in Columbus, MS
• Providers in Columbus, 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 Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.