Organization Active NPI

Oasis Health & Rehab of Yazoo City, LLC

  • Occupational Therapist
  • Yazoo City, MS
National Provider Identifier
1083941132
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
OASIS HEALTH & REHAB OF YAZOO CITY, LLC
Practice address
925 Calhoun Ave
Yazoo City, MS 39194-3229
Phone
(662) 746-7770
Fax
(662) 746-4185
NPI assigned
Nov 11, 2009
Last updated
Apr 12, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
COVENANT DOVE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Christopher J Murphy
Title
Vice President
Phone
(901) 937-7994

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

925 Calhoun Ave
Yazoo City, MS 39194-3229

Mailing address

925 Calhoun Ave
Yazoo City, MS 39194-3229
Phone (662) 746-7770

Other identifiers 1

IdentifierTypeStateIssuer
06820185MedicaidMS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1083941132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 CALHOUN AVE",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391943229",
            "telephone_number": "662-746-7770",
            "fax_number": "662-746-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CALHOUN AVE",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391943229",
            "telephone_number": "662-746-7770",
            "fax_number": "662-746-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS HEALTH & REHAB OF YAZOO CITY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COVENANT DOVE, LLC",
        "enumeration_date": "2009-11-11",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "901-937-7994"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06820185",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yazoo City, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.