Organization Active NPI

Professional Therapy Solutions, LLC

  • Physical Therapist
  • Madison, MS
National Provider Identifier
1326488263
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1151 Issued in MS
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

Updated by the provider on Feb 10, 2022

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
08232551MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL LAN Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.