Organization Active NPI

Douglas E Fleming LLC

  • Physical Therapy Clinic/Center
  • Greenville, MS
National Provider Identifier
1164512380
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mr. Douglas Errol Fleming, PTNPI 1497263271
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)CodeLicenseStatePrimary
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 Doing business as
  • Greenville Sports Medicine & Rehab, Inc. Doing business as
  • Greenville Sports Medicine and Rehab Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180703001513 MS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4981950094 Receives reassigned benefits from 2 practitioners
Practice locations: Greenville, MS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.