Individual provider Active NPI

Regina Lynn Grimes, PT, C/NDT, ATP

  • Assistive Technology Practitioner Rehabilitation Counselor
  • Houston, MS
National Provider Identifier
1255355947
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Practitioner Rehabilitation CounselorTaxonomy code 225CA2400X
License
74539 Issued in MS
Practice address
205 County Road 441
Houston, MS 38851-7642
Phone
(662) 231-1187
Fax
(662) 448-1189
NPI assigned
Jul 26, 2006
Last updated
Feb 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2444 MS
Pediatric Physical Therapist 2251P0200X PT2444 MS
Assistive Technology Practitioner Rehabilitation Counselor 225CA2400X 74539 MS Primary

Addresses

Primary practice location

205 County Road 441
Houston, MS 38851-7642

Mailing address

205 County Road 441
Houston, MS 38851-7642
Phone (662) 231-1187

Other names 1

  • Ms. Regina Lynn Grimes Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rgrimes@teamsms.net Direct
Direct Messaging Address rgrimes@teamsms.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT2444MSMDPediatric Physical Therapist
74539MSMDAssistive Technology Practitioner Rehabilitation Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Mobility Specialists Inc CurrentSince Feb 16, 2020 Accepting new patients
Southern Mobility Specialists Inc CurrentSince Jan 17, 2022 Accepting new patients
Advance Rehabilitation Services, Inc. Physical Therapist PastSince Apr 1, 2007 Accepting new patients

Locations

205 County Road 441
Houston, MS 38851
Phone (662) 231-1187

Interoperability endpoints

  • Direct secure messaging: rgrimes@teamsms.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1255355947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 COUNTY ROAD 441",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "388517642",
            "telephone_number": "662-231-1187",
            "fax_number": "662-448-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 COUNTY ROAD 441",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "388517642",
            "telephone_number": "662-231-1187",
            "fax_number": "662-448-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "REGINA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PT, C/NDT, ATP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT2444",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MS",
            "license": "PT2444",
            "primary": false
        },
        {
            "code": "225CA2400X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": "MS",
            "license": "74539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgrimes@teamsms.net",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "205 County Road 441",
            "city": "Houston",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388517642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgrimes@teamsms.net",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "205 County Road 441",
            "city": "Houston",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388517642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "GRIMES",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "PT, C/NDT, ATP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.