Active NPI
Professional Therapy Solutions, LLC
- Physical Therapist
- Madison, MS
National Provider Identifier
1326488263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1151
- Legal business name
- PROFESSIONAL THERAPY SOLUTIONS, LLC
- Practice address
- 7712 Old Canton Rd Ste a
Madison, MS 39110-9299 - Phone
- (601) 898-1828
- Fax
- (601) 326-3645
- NPI assigned
- Jun 25, 2013
- 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
- Denise Beacham
- Title
- Office Manager
- Phone
- (601) 898-1828
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1151 | MS | Primary |
Addresses
Primary practice location
7712 Old Canton Rd Ste a
Madison, MS 39110-9299
Mailing address
7712 Old Canton Rd Ste a
Madison, MS 39110-9299
Phone (601) 898-1828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08232551 | Medicaid | MS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | LAN | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Madison, MS
- NPI 1003791401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644451200000",
"number": "1326488263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7712 OLD CANTON RD STE A",
"city": "MADISON",
"state": "MS",
"postal_code": "391109299",
"telephone_number": "601-898-1828",
"fax_number": "601-326-3645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7712 OLD CANTON RD STE A",
"city": "MADISON",
"state": "MS",
"postal_code": "391109299",
"telephone_number": "601-898-1828",
"fax_number": "601-326-3645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL THERAPY SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-25",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A",
"authorized_official_last_name": "BEACHAM",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "601-898-1828"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT1151",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08232551",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "LAN",
"affiliation": "N",
"endpointDescription": "desktop",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7712 Old Canton Rd Ste A",
"city": "Madison",
"state": "MS",
"country_code": "US",
"postal_code": "391109299",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.