Pearl River Rehab, P.a.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PEARL RIVER REHAB, P.A.

Practice address

1000 Fifth Ave
Picayune, MS 39466-3214

Phone

(601) 798-8003

Fax

(601) 798-6050

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Richard H. Ramberg

Title

Business Manager

Phone

(601) 798-8003

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maribeth B Ramberg, RPT

  • Physical Therapist
  • Picayune, MS
  • NPI 1033101563
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114935707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FIFTH AVE",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663214",
            "telephone_number": "601-798-8003",
            "fax_number": "601-798-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FIFTH AVE",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663214",
            "telephone_number": "601-798-8003",
            "fax_number": "601-798-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL RIVER REHAB, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAMBERG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "601-798-8003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015114",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nanci W Parish, FNP-BC
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• Annie Deloris Patrick
• Pearl River Emergency Group LLC
• Pediatric Care Clinic
• Pelican Urgent Care, Ms, LLC
• Carla Donnell Penton, FNP
• Victoria-Leigh Elizabeth Perkins, RBT
• Personal Pediatric Care of Picayune LLC

• All providers in Picayune, MS
• 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.