Reggie White Cardio-Pulmonary Rehabilitation Center LLC

Primary specialty

Cardiopulmonary Physical TherapistTaxonomy code 2251C2600X

Legal business name

REGGIE WHITE CARDIO-PULMONARY REHABILITATION CENTER LLC

Practice address

7420 Guthrie Dr N
Ste. 108
Southaven, MS 38671-5876

Phone

(662) 349-9802

NPI assigned

Feb 11, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Derek Evin Denman Sr.

Title

Ceo/President

Phone

(901) 246-0767

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1174855464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 AIRWAYS BLVD",
            "address_2": "SUITE G",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715138",
            "telephone_number": "662-349-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 GUTHRIE DR N",
            "address_2": "STE. 108",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715876",
            "telephone_number": "662-349-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGGIE WHITE CARDIO-PULMONARY REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "DENMAN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "EVIN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "901-246-0767",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "2251C2600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Janay Reed-Washington, FNP-C
• Jessica Rena Reed, EDS, NCC, LPC
• Jonathan Wesley Reed, CRNA
• Sandra Joann Reed, MD
• Tammy Q Reed, APN
• Region IV Elderly Outpatient Psychosocial Desoto
• Region IV Mental Health Services-Sunny Road Office
• Regional Hospice Care,LLC
• Rehab Ready, LLC
• Rehab Technology, LLC

• All providers in Southaven, MS
• Cardiopulmonary Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.