Mid South Rehab Outpatient, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

MID SOUTH REHAB OUTPATIENT, LLC

Practice address

6100 Kitt LN NW
Huntsville, AL 35806-3068

Phone

(601) 605-6777

Fax

(800) 517-6935

NPI assigned

Jan 6, 2010

Organization subpart

No

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

Authorized official

Name

Steven Cole

Title

Ceo

Phone

(601) 605-6777

Specialties & licenses 1

Addresses

Tax ID family

360 Total Rehab3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Mid South Rehab Outpatient Clinic LLC

  • Physical Therapy Clinic/Center
  • Jackson, TN
  • NPI 1265977847
  NPD tax ID
• Mid South Rehab Outpatient Clinic LLC

  • Physical Therapy Clinic/Center
  • Ridgeland, MS
  • NPI 1417280009
  NPD tax ID

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1447580915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599C STEED RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571707",
            "telephone_number": "601-605-6777",
            "fax_number": "800-517-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 KITT LN NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358063068",
            "telephone_number": "601-605-6777",
            "fax_number": "800-517-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID SOUTH REHAB OUTPATIENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-605-6777"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Whitehead Counseling, LLC
• Rosa Mayela Michel Ortega, M.D.
• Michelle R. Grana, DO; PC
• Alicia Jamelle Mickles, D.D.S.
• Microphase Clinical Laboratory
• Mid-South Home Care Services, Inc.
• Mid-South Home Health, LLC
• Amaya Ashanti Middlebrooks
• Denia Ayanna Middleton
• Jeffrey Middleton

• Rehabilitation Clinic/Center in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Rehabilitation Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.