Organization Active NPI

Physical Therapy Professionals

  • Sports Physical Therapist
  • Pascagoula, MS
National Provider Identifier
1265746309
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
PT3068 Issued in MS
Legal business name
PHYSICAL THERAPY PROFESSIONALS
Practice address
2900 Melton Ave
Pascagoula, MS 39581-4120
Phone
(228) 696-9946
Fax
(228) 696-9917
NPI assigned
Jul 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Authorized official

Name
Claudie Leon Tingle, MSPT
Title
Partner/Physical Therapist
Phone
(228) 696-9946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251S0007X PT3068 MS Primary

Addresses

Primary practice location

2900 Melton Ave
Pascagoula, MS 39581-4120

Mailing address

2900 Melton Ave
Pascagoula, MS 39581-4120
Phone (228) 696-9946

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1265746309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 MELTON AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395814120",
            "telephone_number": "228-696-9946",
            "fax_number": "228-696-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 MELTON AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395814120",
            "telephone_number": "228-696-9946",
            "fax_number": "228-696-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "TINGLE",
        "authorized_official_first_name": "CLAUDIE",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "PARTNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "228-696-9946",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "MS",
            "license": "PT3068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.