Active NPI
Douglas E Fleming LLC
- Physical Therapy Clinic/Center
- Greenville, MS
National Provider Identifier
1164512380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- DOUGLAS E FLEMING LLC
- Practice address
- 1020 Margaret Blvd
Greenville, MS 38703 - Phone
- (662) 332-4950
- Fax
- (662) 332-4956
- NPI assigned
- Oct 16, 2006
- 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
- Mr. Douglas Errol Fleming, PT
- Title
- Business Owner
- Phone
- (662) 332-4950
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
1020 Margaret Blvd
Greenville, MS 38703
Mailing address
1020 Margaret Blvd
Greenville, MS 38703-6453
Phone (662) 332-4950
Other names 3
- Douglas Fleming LLC
- Greenville Sports Medicine & Rehab, Inc.
- Greenville Sports Medicine and Rehab Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
106 Second St
Indianola, MS 38751
Phone (662) 887-3800
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Greenville, MS
- NPI 1245453653
-
- Occupational Therapist
- Indianola, MS
- NPI 1811870900
-
- Physical Therapist
- Oxford, MS
- NPI 1043945058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1164512380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 MARGARET BLVD",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387036453",
"telephone_number": "662-332-4950",
"fax_number": "662-332-4956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 MARGARET BLVD",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "38703",
"telephone_number": "662-332-4950",
"fax_number": "662-332-4956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS E FLEMING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-16",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "FLEMING",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "ERROL",
"authorized_official_title_or_position": "BUSINESS OWNER",
"authorized_official_telephone_number": "662-332-4950",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Douglas Fleming LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Greenville Sports Medicine & Rehab, Inc.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Greenville Sports Medicine & Rehab, Inc.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Greenville Sports Medicine and Rehab Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.