Organization Active NPI

Physical Therapy Works Inc

  • Physical Therapist
  • Canton, MS
National Provider Identifier
1336291467
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1300 Issued in MS
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

Updated by the provider on Jul 3, 2008

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00123980MedicaidMS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.