United Rehab Associates of Clinton, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

UNITED REHAB ASSOCIATES OF CLINTON, LLC

Practice address

590 Springridge Rd
Suite B
Clinton, MS 39056-5641

Phone

(601) 473-2317

Fax

(601) 473-2327

NPI assigned

Aug 25, 2014

Organization subpart

No

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

Authorized official

Name

Mr. David A Parker II

Title

Owner

Phone

(601) 382-3699

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Noel Tello, LPTA

  • Physical Therapy Assistant
  • Clinton, MS
  • NPI 1144606773
  NPD (past)

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1306246541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 SPRINGRIDGE RD",
            "address_2": "SUITE B",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565641",
            "telephone_number": "601-473-2317",
            "fax_number": "601-473-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 SPRINGRIDGE RD",
            "address_2": "SUITE B",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565641",
            "telephone_number": "601-473-2317",
            "fax_number": "601-473-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED REHAB ASSOCIATES OF CLINTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-382-3699",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Reed Tuccio, NP
• Sophila Tucker
• Turnage Family Dentistry, PLLC
• April Anders Turnage, D.M.D.
• Tutors N More LLC
• Urban Rehab, Inc
• Urban Rehab, Inc
• Hayden Van Norman
• Lakesha Varnell
• Jennifer Whatley Vaughn, PT

• Physical Therapy Clinic/Center in Clinton, MS
• Providers in Clinton, MS by specialty
• Physical Therapy Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.