Physical Therapy Center of Ocean Springs LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSICAL THERAPY CENTER OF OCEAN SPRINGS LLC

Doing business as

PT Solutions of Mississippi

Practice address

433 Broad St
Columbia, MS 39429-3404

Phone

(601) 444-0037

Fax

(601) 444-0033

NPI assigned

Jan 6, 2021

Last updated

Jan 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dale Michael Yake

Title

Ceo

Phone

(678) 403-3555

Specialties & licenses 2

Addresses

Other names 1

• PT Solutions of Mississippi Doing business as

Tax ID family

Physical Therapy Center of Ocean Springs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Physical Therapy Center of Ocean Springs, LLC

  dba PT Solutions

  • Physical Therapist
  • Ocean Springs, MS
  • NPI 1578647780
  NPD tax ID

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1215525118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HOLCOMB BLVD STE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 BROAD ST",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394293404",
            "telephone_number": "601-444-0037",
            "fax_number": "601-444-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CENTER OF OCEAN SPRINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "YAKE",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-403-3555"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PT Solutions of Mississippi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terra Leigh Parker
• Billy Pearson, NP
• Latasha Peavy, IDD WAIVER SERVICES
• Pediatrics & Family Practice of Columbia, P.a.
• Lakisha Peten
• Jeri Pittman, PCCSS
• Lesley Morgan Polk
• Precious Hands Personal Care LLC,
• Precise Home Care Solutions LLC
• James Price, P.T.

• Physical Therapist in Columbia, MS
• Providers in Columbia, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.