Sunflower Rehab, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0258 Issued in MS

Legal business name

SUNFLOWER REHAB, LLC

Practice address

110 S Court St
Cleveland, MS 38732-2650

Phone

(662) 402-1644

NPI assigned

Mar 30, 2015

Last updated

Mar 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bradley Alan Cooper, MOT, OTR/L

Title

Partner

Phone

(662) 417-5815

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1336534247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 901",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387320901",
            "telephone_number": "662-402-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S COURT ST",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322650",
            "telephone_number": "662-402-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNFLOWER REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "662-417-5815",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "2342",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "0258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.