CRNC, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0449 Issued in MS

Legal business name

CRNC, INC.

Doing business as

Physical Therapy Solutions

Practice address

3423 Pascagoula St
Pascagoula, MS 39567-3206

Phone

(228) 762-2345

Fax

(228) 762-2365

NPI assigned

Jul 29, 2006

Last updated

May 23, 2014By 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

Mrs. Ada Ruth Bosarge, PTNPI 1447318159

Title

Owner

Phone

(228) 762-2345

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Physical Therapy Solutions Doing business as

Locations

Practitioners 4

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.

• Ada Ruth Bosarge, PT CMDT

  • Physical Therapist
  • Pascagoula, MS
  • NPI 1447318159
  NPD Authorized official
• Maria A Benvenutti-Payne, MPT

  • Physical Therapist
  • Pascagoula, MS
  • NPI 1700954930
  NPD (past)
• Philomena C Broussard, DPT, MPHA, BSPT

  • Specialist
  • Pascagoula, MS
  • NPI 1407923998
  NPD (past)
• Ann C Godfrey, PT CMDT

  • Physical Therapist
  • Pascagoula, MS
  • NPI 1366503419
  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400803200000",
    "number": "1376557645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3423 PASCAGOULA ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395673206",
            "telephone_number": "228-762-2345",
            "fax_number": "228-762-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3423 PASCAGOULA ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395673206",
            "telephone_number": "228-762-2345",
            "fax_number": "228-762-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRNC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2014-05-23",
        "status": "A",
        "authorized_official_last_name": "BOSARGE",
        "authorized_official_first_name": "ADA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-762-2345",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT2455",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT3565",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT0449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09016039",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa W Costello, M.D., FACEP
• Sally Jo Anna Covington, AGACNP-BC
• Lakisha Cox
• Pamela Michele Craft, P.T.
• Sydni Crain, NP
• Vickie Gill Cruse, AU.D.
• Harmony P Cubbage, PMHNP
• Darren Cuevas, CRNA
• Gregory Ryan Culpepper, MD
• Moneeshea Dailey

• Physical Therapist in Pascagoula, MS
• Providers in Pascagoula, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; 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.