Joseph Albert Church III, OTR/L-CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

OT0116 Issued in MS

Practice address

1105 39TH Ave
Gulfport, MS 39501-2654

Phone

(228) 575-4654

Fax

(228) 575-4651

NPI assigned

Jun 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Louisiana State University School of Medicine in New Orleans, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Encore Rehabilitation, IncGroup PAC ID 3577462126, 182 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Coast Hand Therapy, Inc.

  • Hand Occupational Therapist
  • Gulfport, MS
  • NPI 1023055415
  Medicare reassignment NPD Authorized official
• Encore Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Decatur, AL
  • NPI 1033218524

  MS

  Medicare reassignment Care Compare group NPD
• Encore Rehabilitation, Inc.

  • Occupational Medicine Clinic/Center
  • Gulfport, MS
  • NPI 1437962313

  Hand

  NPD

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1265470744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 39TH AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012654",
            "telephone_number": "228-575-4654",
            "fax_number": "228-575-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 39TH AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012654",
            "telephone_number": "228-575-4654",
            "fax_number": "228-575-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "JOSEPH",
        "middle_name": "ALBERT",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "OTR/L-CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MS",
            "license": "OT0116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119593",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Choices Coordinated Care Solutions, Inc.
• Kimberly Ann Choina-Karamat, ACNP-BC
• Latoya Yvonne Christian, RN
• Anna Christiansen
• Christina Care'S
• Shannon Ann Church, LCSW
• Doug Cirino
• Abigail Clark
• Jazmyn Clark
• John Saunders Clark, D.D.S.

• Hand Occupational Therapist in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Hand Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.