Gulf Coast Physical Therapy Centers PA

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GULF COAST PHYSICAL THERAPY CENTERS PA

Practice address

1721 Medical Park Dr Ste 102
Biloxi, MS 39532-2105

Phone

(228) 396-3374

Fax

(228) 936-3379

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael N Phillips, PT

Title

Secretary

Phone

(228) 864-1212

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Gulf Coast Physical Therapy Centers PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Gulf Coast Physical Therapy Centers PA

  • Physical Therapy Clinic/Center
  • Biloxi, MS
  • NPI 1053691253
  NPD tax ID
• Gulf Coast Physical Therapy Centers PA

  • Physical Therapist
  • Pascagoula, MS
  • NPI 1093897001
  NPD tax ID
• Gulf Coast Physical Therapy Centers PA

  • Physical Therapist
  • Biloxi, MS
  • NPI 1598847592
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Willis Hahn, PT

  • Physical Therapist
  • Biloxi, MS
  • NPI 1619084860
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285716282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 MEDICAL PARK DR STE 102",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322105",
            "telephone_number": "228-396-3374",
            "fax_number": "228-396-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 MEDICAL PARK DR STE 102",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322105",
            "telephone_number": "228-396-3374",
            "fax_number": "228-936-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST PHYSICAL THERAPY CENTERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "228-864-1212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05225878",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Neuropsychology and Neuro-Rehabilitation
• Gulf Coast Oral & Facial Surgery, P.a.
• Gulf Coast Outpatient Surgery Center, LLC
• Gulf Coast Outpatient Surgery Center, LLC
• Gulf Coast Physical Therapy Centers PA
• Gulf Coast Physical Therapy Centers PA
• Gulf Coast Physical Therapy Centers PA
• Gulf Coast Urgent Care, LLC
• Gulf Coast Vamc
• Gulf Coast Vascular Care, LLC

• Physical Therapist in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.