Active NPI
Premier Rehab
- Physical Therapist
- Jackson, MS
National Provider Identifier
1144340548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3573
- Legal business name
- PREMIER REHAB
- Practice address
- 230 Beasley Rd
Jackson, MS 39206-2944 - Phone
- (601) 636-6019
- Fax
- (601) 664-8457
- NPI assigned
- Mar 30, 2007
- 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
- Marcus T Harris, PT
- Title
- Owner
- Phone
- (601) 636-6019
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT3192 | MS | |
| Physical Therapist | 225100000X | PT3573 | MS | Primary |
| Occupational Therapist | 225X00000X | OT2017 | MS |
Addresses
Primary practice location
230 Beasley Rd
Jackson, MS 39206-2944
Mailing address
1054 Highland Cove PL
Ridgeland, MS 39157-1523
Phone (601) 636-6019
National Provider Directory
National Provider Directory- Tax ID family
- Premier Rehab
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Tougaloo, MS
- NPI 1790921724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1144340548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1054 HIGHLAND COVE PL",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391571523",
"telephone_number": "601-636-6019",
"fax_number": "601-661-8457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 BEASLEY RD",
"city": "JACKSON",
"state": "MS",
"postal_code": "392062944",
"telephone_number": "601-636-6019",
"fax_number": "601-664-8457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER REHAB",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-30",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "MARCUS",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-636-6019",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT3192",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT3573",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT2017",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
- Premier Elevation Health & Wellness, PLLC
- Premier Medical Group of Mississippi LLC
- Premier Medical Management of Mississippi, Inc
- Premier Pain Care, P.C.
- Premier Podiatry LLC
- Premise Health of Mississippi Medical PC
- Marcus Andrew Presley, M.D.
- Sara Marie Presley, MSN, NNP-BC
- Aren Worrell Presnall
- Christine Jaudon Presson, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.