Active NPI
Alisha Farrish
- Physical Therapist
- Biloxi, MS
National Provider Identifier
1144776386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4531
- Practice address
- 1720A Medical Park Dr
Suite 210
Biloxi, MS 39532-2129 - Phone
- (228) 392-9355
- Fax
- (228) 392-5288
- NPI assigned
- Aug 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT4531 | MS | Primary |
Addresses
Primary practice location
1720A Medical Park Dr
Suite 210
Biloxi, MS 39532-2129
Mailing address
6300 East Lake Blvd.
Suite 301
Vancleave, MS 39565
Phone (228) 392-9355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4531 | MS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473120000000",
"number": "1144776386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 EAST LAKE BLVD.",
"address_2": "SUITE 301",
"city": "VANCLEAVE",
"state": "MS",
"postal_code": "39565",
"telephone_number": "228-392-9355",
"fax_number": "228-206-6525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720A MEDICAL PARK DR",
"address_2": "SUITE 210",
"city": "BILOXI",
"state": "MS",
"postal_code": "395322129",
"telephone_number": "228-392-9355",
"fax_number": "228-392-5288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRISH",
"first_name": "ALISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-28",
"last_updated": "2016-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT4531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.