Active NPI
Therapy Solutions LLC
Doing business as Advanced Therapy
- Physical Therapy Clinic/Center
- D'Iberville, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- THERAPY SOLUTIONS LLC
- Doing business as
- Advanced Therapy
- Practice address
- 4063 Ginger Dr
Ste C
Diberville, MS 39540-3705 - Phone
- (228) 354-0093
- Fax
- (228) 354-0094
- NPI assigned
- Mar 12, 2012
- Last updated
- Mar 14, 2012
- 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
- Mrs. Kelly Rae Santine Landry, MPT
- Title
- Owner/Physical Therapist
- Phone
- (228) 354-0093
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 | MS | Primary |
Addresses
Primary practice location
4063 Ginger Dr
Ste C
Diberville, MS 39540-3705
Mailing address
4063 Ginger Dr
Ste C
Diberville, MS 39540-3705
Phone (228) 354-0093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0121391 | Medicaid | MS |
Other names 1
- Advanced Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4063 Ginger Dr
Ste Bc
Diberville, MS 39540
4063 Ginger Dr
Ste C
Diberville, MS 39540
Phone (228) 354-0093
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- D'Iberville, MS
- NPI 1396868568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331683200000",
"number": "1164797973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4063 GINGER DR",
"address_2": "STE C",
"city": "DIBERVILLE",
"state": "MS",
"postal_code": "395403705",
"telephone_number": "228-354-0093",
"fax_number": "228-354-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4063 GINGER DR",
"address_2": "STE C",
"city": "DIBERVILLE",
"state": "MS",
"postal_code": "395403705",
"telephone_number": "228-354-0093",
"fax_number": "228-354-0094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPY SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-12",
"last_updated": "2012-03-14",
"status": "A",
"authorized_official_last_name": "SANTINE LANDRY",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "RAE",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "228-354-0093",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0121391",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in D'Iberville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.