Active NPI
Orleans Park Rehabilitation Services, LLC
- Physical Therapist
- Hattiesburg, MS
National Provider Identifier
1225173255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2549
- Legal business name
- ORLEANS PARK REHABILITATION SERVICES, LLC
- Practice address
- 15 Orleans Drive
Hattiesburg, MS 39402 - Phone
- (601) 450-1370
- Fax
- (601) 450-1371
- NPI assigned
- Feb 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Ian Weiss, MD
- Title
- Member
- Phone
- (601) 450-1370
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2549 | MS | Primary |
Addresses
Primary practice location
15 Orleans Drive
Hattiesburg, MS 39402
Mailing address
15 Orleans Drive
Hattiesburg, MS 39402
Phone (601) 450-1370
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C04508 | Other | MS | MEDICARE |
| DG3476 | Other | MS | RAILROAD MEDICARE |
| 03277867 | Medicaid | MS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rheumatology Physician
- Hattiesburg, MS
- NPI 1851431159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208822400000",
"number": "1225173255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 ORLEANS DRIVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "39402",
"telephone_number": "601-450-1370",
"fax_number": "601-450-1371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 ORLEANS DRIVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "39402",
"telephone_number": "601-450-1370",
"fax_number": "601-450-1371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORLEANS PARK REHABILITATION SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2008-04-22",
"status": "A",
"authorized_official_last_name": "WEISS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "IAN",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "601-450-1370",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT2549",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "C04508",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DG3476",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03277867",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
- One Stop Healthcare Management LLC
- Kelechi Victor Onyekwere, DO
- Optometric Clinic, PA
- Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.a.
- Oral and Facial Surgery Center
- Orthospine DME, LLC
- Orthotic & Prosthetic Solutions LLC
- Amanda Louise Osborne, FNP
- Larry Lee Osenbaugh, RPH
- Hannah Jane Osowski, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.