Organization Active NPI

Rehabilitation Solutions, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Laurel, MS
National Provider Identifier
1063693802
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
16798 Issued in MS
Legal business name
REHABILITATION SOLUTIONS, PLLC
Practice address
1104 W 1St St
Suite 6
Laurel, MS 39440-4357
Phone
(601) 425-0001
Fax
(601) 425-9299
NPI assigned
Nov 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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

Authorized official

Name
Mr. Thomas Sturdavant, M.D.NPI 1437240603
Title
Doctor
Phone
(601) 445-0001

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
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 16798 MS Primary

Addresses

Primary practice location

1104 W 1St St
Suite 6
Laurel, MS 39440-4357

Mailing address

1104 W 1St St
Suite 6
Laurel, MS 39440-4357
Phone (601) 425-0001

Other identifiers 2

IdentifierTypeStateIssuer
16798OtherMSSTATE LICENSE
00122797MedicaidMS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1063693802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 W 1ST ST",
            "address_2": "SUITE 6",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404357",
            "telephone_number": "601-425-0001",
            "fax_number": "601-425-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 W 1ST ST",
            "address_2": "SUITE 6",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404357",
            "telephone_number": "601-425-0001",
            "fax_number": "601-425-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "STURDAVANT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "601-445-0001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MS",
            "license": "16798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "16798",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00122797",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.