Active NPI
Cost to Coast Rehab Inc
- Rehabilitation Hospital
- Greenville, MS
National Provider Identifier
1104235266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- License
- PT4308
- Legal business name
- COST TO COAST REHAB INC
- Practice address
- 564 Cypress LN Apt 27a
Greenville, MS 38701-7425 - Phone
- (228) 366-0281
- NPI assigned
- Aug 3, 2014
- 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
- Abrian Flowers
- Title
- Physical Therapist
- Phone
- (228) 366-0281
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | PT4308 | MS | |
| Physical Therapy Clinic/Center | 261QP2000X | PT4308 | MS | |
| Rehabilitation Hospital | 283X00000X | PT4308 | MS | Primary |
Addresses
Primary practice location
564 Cypress LN Apt 27a
Greenville, MS 38701-7425
Mailing address
564 Cypress LN Apt 27a
Greenville, MS 38701-7425
Phone (228) 366-0281
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407024000000",
"number": "1104235266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "564 CYPRESS LN APT 27A",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387017425",
"telephone_number": "228-366-0281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "564 CYPRESS LN APT 27A",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387017425",
"telephone_number": "228-366-0281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COST TO COAST REHAB INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-03",
"last_updated": "2014-08-03",
"status": "A",
"authorized_official_last_name": "FLOWERS",
"authorized_official_first_name": "ABRIAN",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "228-366-0281"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MS",
"license": "PT4308",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MS",
"license": "PT4308",
"primary": false
},
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": "MS",
"license": "PT4308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.