Mississippi Physical Therapy Services of Biloxi, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MISSISSIPPI PHYSICAL THERAPY SERVICES OF BILOXI, LLC

Practice address

1651 Popps Ferry Rd Ste 105
Biloxi, MS 39532-2249

Phone

(228) 273-4037

Fax

(228) 273-4154

NPI assigned

Feb 15, 2021

Organization subpart

No

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

Authorized official

Name

Joshua L. Proffitt

Title

President

Phone

(337) 233-1307

Specialties & licenses 2

Addresses

Other names 1

• Mississippi Physical Therapy Services of Biloxi Doing business as

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1154914778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 POPPS FERRY RD STE 105",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322249",
            "telephone_number": "228-273-4037",
            "fax_number": "228-273-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI PHYSICAL THERAPY SERVICES OF BILOXI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mississippi Physical Therapy Services of Biloxi",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mississippi Physical Therapy Services of Biloxi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mississippi Drug and Alcohol Treatment Center LLC
• Mississippi Em-1 Medical Services, PC
• Mississippi Hma DME, LLC
• Mississippi Methodist Hospital & Rehabilitation Center, Inc
• Mississippi Orthopaedic Institute
• Mississippi State Department of Health
• Arthur Charles Mitchell Sr.
• Celia Price Mitchell, NP-C
• David Matthew Mitchell, LPC
• Desmon Craig Mitchell, PHD

• All providers in Biloxi, MS
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.