Active NPI
Rehabilitation Solutions, PLLC
- Physical Medicine & Rehabilitation Physician
- Laurel, MS
National Provider Identifier
1063693802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 16798
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Sturdavant, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16798 | Other | MS | STATE LICENSE |
| 00122797 | Medicaid | MS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Kingsport, TN
- NPI 1437240603
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.