NPIMap

Organization Active NPI

Agilitas USA, Inc

  • Physical Therapy Clinic/Center
  • Southaven, MS
National Provider Identifier
1386964765
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
AGILITAS USA, INC
Practice address
3451 Goodman Rd E
Ste 110
Southaven, MS 38672-9303
Phone
(662) 892-5020
NPI assigned
Jun 8, 2010
Organization subpart
Yes
Parent organization
AGILITAS USA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Authorized official

Name
Andrew Lange
Title
Cfo
Phone
(615) 373-1350

Specialties & licenses 1

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

Addresses

Primary practice location

3451 Goodman Rd E
Ste 110
Southaven, MS 38672-9303

Mailing address

800 Crescent Centre Dr
Suite 600
Franklin, TN 37067-7269
Phone (615) 373-1350

Other names 1

  • Results Physiotherapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Results Physiotherapy329 organizations share this tax ID, including this one
Part of
Results Physiotherapy

Organizations with this tax ID in the same state 9

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

3451 Goodman Rd E
Ste 110
Southaven, MS 38672
Phone (662) 892-5020

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1386964765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR",
            "address_2": "SUITE 600",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677269",
            "telephone_number": "615-373-1350",
            "fax_number": "615-373-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 GOODMAN RD E",
            "address_2": "STE 110",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386729303",
            "telephone_number": "662-892-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGILITAS USA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGILITAS USA INC",
        "enumeration_date": "2010-06-08",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-373-1350"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Results Physiotherapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Results Physiotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.