Active NPI
Premier Rehab
- Physical Therapist
- Jackson, MS
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
- Last updated
- Sep 11, 2025
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Jackson, MS
- NPI 1891877924
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 (Jackson Medical Clinic LLC)
- Premier Medical Management of Mississippi, Inc
- Premier Pain Care, P.C.
- Premier Podiatry LLC
- Premise Health of Mississippi Medical PC (Mississippi Farm Bureau - Jackson)
- 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.