United Rehab Associates, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

UNITED REHAB ASSOCIATES, LLC

Practice address

1990 S Frontage Rd Ste J
Vicksburg, MS 39180-5232

Phone

(601) 883-1983

Fax

(601) 883-1938

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David A Parker II

Title

Administrator

Phone

(601) 883-1983

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093856981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 S FRONTAGE RD STE J",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805232",
            "telephone_number": "601-883-1983",
            "fax_number": "601-883-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 S FRONTAGE RD STE J",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805232",
            "telephone_number": "601-883-1983",
            "fax_number": "601-883-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED REHAB ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-883-1983",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.