NPIMap

Organization Active NPI

Healing Hands Rehabilitation Services, LLC

  • Physical Therapy Clinic/Center
  • Madison, MS
National Provider Identifier
1346629920
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT4561 Issued in MS
Legal business name
HEALING HANDS REHABILITATION SERVICES, LLC
Practice address
105 Lexington Dr
Suite H
Madison, MS 39110-6645
Phone
(601) 910-7300
NPI assigned
May 28, 2015
Last updated
Jan 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Dr. Jasmine M Smith, DPTNPI 1679863245
Title
Managing Partner/Physical Therapist
Phone
(601) 910-7300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT4561 MS Primary

Addresses

Primary practice location

105 Lexington Dr
Suite H
Madison, MS 39110-6645

Mailing address

PO Box 13814
Jackson, MS 39236

Other identifiers 1

IdentifierTypeStateIssuer
00571578MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170612001564 MS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3072881267 Receives reassigned benefits from 4 practitioners
Practice locations: Gluckstadt, MS; Jackson, MS

National Provider Directory

National Provider Directory
Tax ID family
Healing Hands Rehab SVCS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

105 Lexington Dr
Ste H
Gluckstadt, MS 39110
Phone (601) 910-7300

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1346629920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13814",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LEXINGTON DR",
            "address_2": "SUITE H",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106645",
            "telephone_number": "601-910-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS REHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING PARTNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "601-910-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MS",
            "license": "PT4561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00571578",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.