NPIMap

Organization Active NPI

Medicomp, Inc.

Doing business as Medicomp Physical Therapy Pearl

  • Physical Therapy Clinic/Center
  • Pearl, MS
National Provider Identifier
1336509728
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MEDICOMP, INC.
Doing business as
Medicomp Physical Therapy Pearl
Practice address
3454 Highway 80 E
Pearl, MS 39208-4001
Phone
(601) 824-8914
Fax
(601) 824-8828
NPI assigned
Feb 29, 2016
Last updated
Mar 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Joseph S McNulty III
Title
Ceo
Phone
(601) 849-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

3454 Highway 80 E
Pearl, MS 39208-4001

Mailing address

2015 Highpointe Dr
Brandon, MS 39042-3169
Phone (601) 824-8914

Other names 1

  • Medicomp Physical Therapy Pearl Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mediscan10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3454 Highway 80 E
Pearl, MS 39208
Phone (601) 824-8914

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1336509728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 HIGHPOINTE DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390423169",
            "telephone_number": "601-824-8914",
            "fax_number": "601-824-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 HIGHWAY 80 E",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392084001",
            "telephone_number": "601-824-8914",
            "fax_number": "601-824-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICOMP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-849-6440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicomp Physical Therapy Pearl",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearl, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.