Active NPI
Hometown Therapy LLC
- Physical Therapist
- Pearl, MS
National Provider Identifier
1306600341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- HOMETOWN THERAPY LLC
- Practice address
- 2509 Old Brandon Rd Ste C
Pearl, MS 39208-4610 - Phone
- (601) 487-6814
- Fax
- (601) 487-6815
- NPI assigned
- Feb 9, 2024
- 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
- Craig Nelson Howard, DPT
- Title
- President
- Phone
- (601) 497-4469
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
2509 Old Brandon Rd Ste C
Pearl, MS 39208-4610
Mailing address
PO Box 54163
Pearl, MS 39288-4163
Phone (601) 487-6814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2509 Old Brandon Rd
Ste C
Pearl, MS 39208
Phone (601) 487-6814
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Pearl, MS
- NPI 1619491545
-
- Occupational Therapist
- Pearl, MS
- NPI 1760835672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717545600000",
"number": "1306600341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 54163",
"city": "PEARL",
"state": "MS",
"postal_code": "392884163",
"telephone_number": "601-487-6814",
"fax_number": "601-487-6815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2509 OLD BRANDON RD STE C",
"city": "PEARL",
"state": "MS",
"postal_code": "392084610",
"telephone_number": "601-487-6814",
"fax_number": "601-487-6815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMETOWN THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-09",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "NELSON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "601-497-4469",
"authorized_official_credential": "DPT"
},
"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": []
}
Other providers in Pearl, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.