Covenant Health & Rehab of Picayune, LLC
Organization Active NPI Occupational Therapist · Picayune, MS
NPI 1346579190 · NPPES record last updated Apr 12, 2012
Key facts
- NPI
- 1346579190
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- Legal business name
- COVENANT HEALTH & REHAB OF PICAYUNE, LLC
- Practice address
- 1620 Read Rd
Picayune, MS 39466-2710 - Phone
- (601) 798-1811
- Fax
- (601) 798-2362
- NPI assigned
- Dec 8, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- COVENANT DOVE, LLC
Authorized official
- Name
- Christopher J Murphy
- Title
- Vice President
- Phone
- (901) 937-7994
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | Yes | ||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
1620 Read Rd
Picayune, MS 39466-2710
Mailing address
1620 Read Rd
Picayune, MS 39466-2710
Phone (601) 798-1811
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06332742 | Medicaid | MS |
Other providers in Picayune, MS
- Horace Eugene Combs III
- Communication Connection, LLC
- Community Home Care Pharmacy Inc.
- Jaime Conerly-Sylvas
- Nicole Cousin
- Covenant Health & Rehab of Picayune, LP
- Creekside Pediatric Therapy LLC
- Robert Joseph Crochet III
- Timothy James Cuevas
- Cynthia V Aly- Jean-Pierre
All providers in Picayune, MS · Occupational Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.