Orthopedic Rehabilitation, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ORTHOPEDIC REHABILITATION, LLC

Practice address

2015 Highway 15 N
Suite a
Laurel, MS 39440-1838

Phone

(601) 425-2363

Fax

(601) 425-3201

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Randy Bicker

Title

Administrator

Phone

(601) 425-2363

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1306962899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 HIGHWAY 15 N",
            "address_2": "SUITE A",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401838",
            "telephone_number": "601-425-2363",
            "fax_number": "601-425-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 HIGHWAY 15 N",
            "address_2": "SUITE A",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401838",
            "telephone_number": "601-425-2363",
            "fax_number": "601-425-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "BICKER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-425-2363"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard O'Keeffe Jr., M.D.
• Alexandra Carter O'Neal, M.S. C.C.C.-S.L.P.
• John O'Quin, NP
• Gulshan Singh Oberoi, M.D
• Optimal Performance Physical Therapy
• Mary Caskey Ousley, DMD
• Myneka L Owens, LPN
• Trina Owens, IDD WAIVER SERVICES
• Erin W Pacific, DPT
• Isis Monique Page

• Physical Therapy Clinic/Center in Laurel, MS
• Providers in Laurel, 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 Jul 18, 2007; 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.