Active NPI
Medicomp, Inc.
- Physical Therapist
- Magee, MS
National Provider Identifier
1285950246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MEDICOMP, INC.
- Practice address
- 357 Simpson Highway 149
Magee, MS 39111-3877 - Phone
- (601) 849-1682
- Fax
- (601) 849-1309
- NPI assigned
- Apr 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph S McNulty III
- Title
- Ceo
- Phone
- (601) 849-6443
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
357 Simpson Highway 149
Magee, MS 39111-3877
Mailing address
PO Box 1100
Magee, MS 39111-1100
Phone (601) 849-1682
Other names 1
- Medicomp Physical Therapy Magee
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271289600000",
"number": "1285950246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1100",
"city": "MAGEE",
"state": "MS",
"postal_code": "391111100",
"telephone_number": "601-849-1682",
"fax_number": "601-849-1309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "357 SIMPSON HIGHWAY 149",
"city": "MAGEE",
"state": "MS",
"postal_code": "391113877",
"telephone_number": "601-849-1682",
"fax_number": "601-849-1309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICOMP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-15",
"last_updated": "2010-04-15",
"status": "A",
"authorized_official_last_name": "MCNULTY",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "601-849-6443",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medicomp Physical Therapy Magee",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Magee, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.