Organization Active NPI

US PT Texas Inc

  • Physical Therapist
  • Southaven, MS
National Provider Identifier
1174859631
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
US PT TEXAS INC
Practice address
7065 Airways Blvd
Suite 110
Southaven, MS 38671-5873
Phone
(662) 349-8997
Fax
(662) 349-8987
NPI assigned
Oct 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Authorized official

Name
Christopher D Corrigan, JD
Title
VP, Authorized Official
Phone
(713) 297-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

7065 Airways Blvd
Suite 110
Southaven, MS 38671-5873

Mailing address

7065 Airways Blvd
Suite 110
Southaven, MS 38671-5873
Phone (662) 349-8997

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100915001113 MS Part B Supplier - Clinic/Group Practice 2466577366 Receives reassigned benefits from 5 practitioners
Practice locations: Southaven, MS

National Provider Directory

National Provider Directory

Locations

7065 Airways Blvd
Southaven, MS 38671

Practitioners & affiliated clinicians

Practitioners 5

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": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1174859631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7065 AIRWAYS BLVD",
            "address_2": "SUITE 110",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715873",
            "telephone_number": "662-349-8997",
            "fax_number": "662-349-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7065 AIRWAYS BLVD",
            "address_2": "SUITE 110",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715873",
            "telephone_number": "662-349-8997",
            "fax_number": "662-349-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US PT TEXAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "CORRIGAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VP, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.