Alliance Rehabilitation, Inc

Organization Active NPI Physical Therapist · Pontotoc, MS

NPI 1326214701 · NPPES record last updated Aug 6, 2008

Key facts

NPI
1326214701
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
License
PT 1493 (MS)
Legal business name
ALLIANCE REHABILITATION, INC
Practice address
109 Highway 15 S
Pontotoc, MS 38863-2628
Phone
(662) 397-8416
Fax
(662) 509-9935
NPI assigned
May 5, 2008
Organization subpart
No

Authorized official

Name
Mr. Charles David Lowe Jr., RPT
Title
Physical Therapist/President
Phone
(662) 397-8416

Practitioners 15

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

National Provider Directory

Locations

7618 Highway 15 N
Ecru, MS 38841
Phone (662) 489-6522

336 Spur St
Pontotoc, MS 38863
Phone (662) 308-5236

109 Highway 15 S
Pontotoc, MS 38863
Phone (662) 308-5236

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X PT 1493 MS Yes

Addresses

Primary practice location

109 Highway 15 S
Pontotoc, MS 38863-2628

Mailing address

109 Highway 15 S
Pontotoc, MS 38863-2628
Phone (662) 397-8416

Other identifiers

IdentifierTypeStateIssuer
07705342MedicaidMS
1619033453OtherMSINDIVIDUAL NPI

Other providers in Pontotoc, MS

All providers in Pontotoc, MS · Physical Therapist in Mississippi

Sources for this page

Verify at the official NPI Registry.