Team 82 Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TEAM 82 PHYSICAL THERAPY

Practice address

1198 Lakeland Dr
Jackson, MS 39216-4701

Phone

(601) 951-9760

NPI assigned

Jan 18, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Jimmy Lee Smith II

Title

Managing Member

Phone

(601) 497-1200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1154626497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16153",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392366153",
            "telephone_number": "601-951-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 LAKELAND DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164701",
            "telephone_number": "601-951-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM 82 PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "601-497-1200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Tayyab
• Natalia Tcacenco
• Vladimir Tchikrizov
• Clint Teague, M.D.
• Lara J Teal Clement, MD
• Jennifer L Teasley
• Telehealthone, LLC
• Telemedicine Services of Mississippi
• Regan Layne Temple, FNP-C
• Jessica Harris Templeton, FNP-C

• Physical Therapist in Jackson, MS
• Providers in Jackson, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.