Active NPI
Physical Therapy Works Inc
- Physical Therapist
- Canton, MS
National Provider Identifier
1336291467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1300
- Legal business name
- PHYSICAL THERAPY WORKS INC
- Practice address
- 3091 S Liberty St
Canton, MS 39046 - Phone
- (601) 859-3131
- Fax
- (601) 859-1101
- NPI assigned
- Jan 17, 2007
- 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
- Ms. M E Nance, PT
- Title
- President PT
- Phone
- (601) 859-3131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1300 | MS | Primary |
Addresses
Primary practice location
3091 S Liberty St
Canton, MS 39046
Mailing address
3091 S Liberty St
Canton, MS 39046
Phone (601) 859-3131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00123980 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
3091 S Liberty St
Canton, MS 39046
Phone (601) 859-3131
Practitioners & 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
- Canton, MS
- NPI 1477701894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215043200000",
"number": "1336291467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3091 S LIBERTY ST",
"city": "CANTON",
"state": "MS",
"postal_code": "39046",
"telephone_number": "601-859-3131",
"fax_number": "601-859-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3091 S LIBERTY ST",
"city": "CANTON",
"state": "MS",
"postal_code": "39046",
"telephone_number": "601-859-3131",
"fax_number": "601-859-1101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL THERAPY WORKS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-17",
"last_updated": "2008-07-03",
"status": "A",
"authorized_official_last_name": "NANCE",
"authorized_official_first_name": "M",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT PT",
"authorized_official_telephone_number": "601-859-3131",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT1300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00123980",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.