Agilitas USA Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

AGILITAS USA INC

Practice address

3451 Goodman Rd E Ste 108
Southaven, MS 38672-9305

Phone

(662) 890-6953

Fax

(662) 890-6954

NPI assigned

Jun 20, 2012

Organization subpart

Yes

Parent organization

AGILITAS USA INCAs reported in NPPES

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

Authorized official

Name

Andrew Lange

Title

Cfo

Phone

(615) 373-1350

Specialties & licenses 1

Addresses

Other names 1

• Results Physiotherapy Doing business as

Part of

Results Physiotherapy

Locations

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1124381686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR STE 300",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677285",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 GOODMAN RD E STE 108",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386729305",
            "telephone_number": "662-890-6953",
            "fax_number": "662-890-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGILITAS USA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGILITAS USA INC",
        "enumeration_date": "2012-06-20",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-373-1350"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Results Physiotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Agilitas USA Inc.
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• Shawanda Nechella Agnew, MD
• Shuaib Ahmad, MD

• Physical Therapy Clinic/Center in Southaven, MS
• Providers in Southaven, MS by specialty
• Physical Therapy Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.