Organization Active NPI

Therapy Solutions LLC

Doing business as Advanced Therapy

  • Physical Therapy Clinic/Center
  • D'Iberville, MS
National Provider Identifier
1164797973
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Authorized official

Name
Mrs. Kelly Rae Santine Landry, MPTNPI 1396868568
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0121391MedicaidMS

Other names 1

  • Advanced Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120323000334 MS Part B Supplier - Clinic/Group Practice 9032379342 Receives reassigned benefits from 1 practitioner
Practice locations: D'Iberville, MS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.