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Drayer Physical Therapy Jackson LLC

Organization Active NPI Physical Therapist · Byram, MS

NPI 1245600535 · NPPES record last updated Sep 30, 2015

Key facts

NPI
1245600535
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
DRAYER PHYSICAL THERAPY JACKSON LLC
Practice address
7213 S Siwell Rd
Suite a
Byram, MS 39272-9776
Phone
(601) 346-9191
Fax
(601) 346-5011
NPI assigned
Sep 30, 2015
Organization subpart
No

Authorized official

Name
Eric J Williams
Title
President and Ceo
Phone
(717) 220-2100

Corporate family (same tax ID) 5

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

National Provider Directory

Tax ID family
Drayer Physical Therapy Jackson LLC (6 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP		 225100000X Yes

Addresses

Primary practice location

7213 S Siwell Rd
Suite a
Byram, MS 39272-9776

Mailing address

7213 S Siwell Rd
Suite a
Byram, MS 39272-9776
Phone (601) 346-9191

Other names

  • Performance Rehab Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 30, 2015.

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1245600535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7213 S SIWELL RD",
            "address_2": "SUITE A",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392729776",
            "telephone_number": "601-346-9191",
            "fax_number": "601-346-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7213 S SIWELL RD",
            "address_2": "SUITE A",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392729776",
            "telephone_number": "601-346-9191",
            "fax_number": "601-346-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAYER PHYSICAL THERAPY JACKSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "717-220-2100"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Byram, MS

All providers in Byram, MS · Physical Therapist in Mississippi

Sources for this page

Verify at the official NPI Registry.