Gulf Coast Physical Therapy Centers PA

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GULF COAST PHYSICAL THERAPY CENTERS PA

Practice address

926 Jackson Ave
Pascagoula, MS 39567-4345

Phone

(228) 762-0151

Fax

(228) 762-0171

NPI assigned

Oct 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael N Phillips, PT

Title

Secretary

Phone

(228) 864-1212

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Gulf Coast Physical Therapy Centers PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Gulf Coast Physical Therapy Centers PA

  • Physical Therapy Clinic/Center
  • Biloxi, MS
  • NPI 1053691253
  NPD tax ID
• Gulf Coast Physical Therapy Centers PA

  • Physical Therapist
  • Biloxi, MS
  • NPI 1285716282
  NPD tax ID
• Gulf Coast Physical Therapy Centers PA

  • Physical Therapist
  • Biloxi, MS
  • NPI 1598847592
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Chester Egbert, PT

  • Physical Therapist
  • Pascagoula, MS
  • NPI 1669580767
  NPD (past)
• Jeffrey Willis Hahn, PT

  • Physical Therapist
  • Biloxi, MS
  • NPI 1619084860
  NPD (past)
• Aaron F Pettis, P.T.

  • Physical Therapist
  • Pascagoula, MS
  • NPI 1326231259
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093897001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 JACKSON AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395674345",
            "telephone_number": "228-762-0151",
            "fax_number": "228-762-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 JACKSON AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395674345",
            "telephone_number": "228-762-0151",
            "fax_number": "228-762-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST PHYSICAL THERAPY CENTERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "228-864-1212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0915734",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Marie Guillotte, NP
• Gulf Coast Audiology, Inc
• Gulf Coast Heart Institute
• Gulf Coast LLC (Gulf Coast Sav-Rex Pharmacy)
• Gulf Coast OB/GYN, PA
• Gulf Coast Psychiatric Care
• Gulf Islands Dentistry, PLLC
• Yolanda A Gutierrez, M.D.
• Marianne B. Haas, L.P.N.
• James H Halbrook, DDS PA

• Physical Therapist in Pascagoula, MS
• Providers in Pascagoula, MS by specialty
• Physical Therapist in Mississippi

• 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.