Scott's Family Fitness & Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SCOTT'S FAMILY FITNESS & PHYSICAL THERAPY

Practice address

808 Hwy 98 Bypass
Columbia, MS 39429-0429

Phone

(601) 731-1140

Fax

(601) 731-1148

NPI assigned

Oct 4, 2006

Last updated

Aug 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Conny Christl RandolphNPI 1306930979

Title

Physical Therapist

Phone

(601) 731-1140

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Conny Christl Randolph, PHYSICAL THERAPIST

  • Physical Therapist
  • Columbia, MS
  • NPI 1306930979
  NPD (past) Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1326133455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "address_2": "808 HWY 98 BYPASS",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394290429",
            "telephone_number": "601-731-1140",
            "fax_number": "601-731-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 HWY 98 BYPASS",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394290429",
            "telephone_number": "601-731-1140",
            "fax_number": "601-731-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT'S FAMILY FITNESS & PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "CONNY",
        "authorized_official_middle_name": "CHRISTL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "601-731-1140"
    },
    "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": "00121739",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rae Ann Ryan, PHARM. D
• S J Transportation LLC
• Patrick John Sanchez, M.D.
• Sav-on-Drugs of Columbia, Inc (Sav-On-Drugs, Inc)
• Michael Schepemaker, FNP
• Minnie Shirley
• Candace Shol, RN
• Candice Brooke Shows
• Angela Simon, MAOD
• Tiara Sims

• Physical Therapist in Columbia, MS
• Providers in Columbia, 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 7, 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.