Organization Active NPI

Exos Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Olive Branch, MS
National Provider Identifier
1194237206
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EXOS PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Practice address
6542 Goodman Rd
Olive Branch, MS 38654
Phone
(205) 259-3991
NPI assigned
Oct 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Authorized official

Name
Greg Perry
Title
President
Phone
(205) 259-3991

Specialties & licenses 1

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

Addresses

Primary practice location

6542 Goodman Rd
Olive Branch, MS 38654

Mailing address

50 Bay St
Clanton, AL 35045-3000

Other practice location 1

7280 Lagae Rd
Castle Pines, CO 80108
Phone (205) 259-3991

Other practice location 2

9950 Crooked Creek Rd
Collierville, TN 38017
Phone (205) 259-3991

Other practice location 3

12482 W Ken Caryl Ave
Littleton, CO 80127
Phone (205) 259-3991

Other practice location 4

4509 Freidrich Ln Ste 21
Austin, TX 78744-1857
Phone (325) 480-0173

National Provider Directory

National Provider Directory

Locations

10636 N 71st Way
Ste 100101
Scottsdale, AZ 85254
Phone (480) 530-0672

7280 Lagae Rd
Ste E
Castle Pines, CO 80108
Phone (303) 221-7272

12482 W Ken Caryl Ave
Unit A4
Littleton, CO 80127
Phone (303) 870-8242

12482 W Ken Caryl Ave
Littleton, CO 80127
Phone (720) 545-0486

6542 Goodman Rd
Olive Branch, MS 38654

4509 Freidrich Ln
Ste 210
Austin, TX 78744
Phone (325) 480-0173

4509 Freidrich Ln
Ste 21
Austin, TX 78744
Phone (325) 480-0173

4400 N Midland Dr
Ste 2850
Midland, TX 79707
Phone (432) 242-7307

Practitioners & affiliated clinicians

Practitioners 1

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": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544659200000",
    "number": "1194237206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BAY ST",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350453000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6542 GOODMAN RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "38654",
            "telephone_number": "205-259-3991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7280 Lagae Rd",
            "address_purpose": "LOCATION",
            "city": "Castle Pines",
            "state": "CO",
            "postal_code": "80108",
            "country_code": "US",
            "telephone_number": "205-259-3991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9950 Crooked Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "38017",
            "country_code": "US",
            "telephone_number": "205-259-3991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12482 W Ken Caryl Ave",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "80127",
            "country_code": "US",
            "telephone_number": "205-259-3991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4509 Freidrich Ln Ste 21",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787441857",
            "country_code": "US",
            "telephone_number": "325-480-0173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXOS PHYSICAL THERAPY AND SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2018-12-13",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-259-3991"
    },
    "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 Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.