Organization Active NPI

Alcorn Rehab Services Inc

  • Physical Therapy Clinic/Center
  • Corinth, MS
National Provider Identifier
1467561670
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ALCORN REHAB SERVICES INC
Practice address
1708 E Shiloh Rd
Corinth, MS 38834-3635
Phone
(662) 284-4656
Fax
(662) 665-0836
NPI assigned
Aug 30, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Michael Lee Stewart, PHYSICAL THERAPIST
Title
Owner/PT
Phone
(662) 284-4656

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary
Durable Medical Equipment & Medical Supplies 332B00000X 5927860001 MS

Addresses

Primary practice location

1708 E Shiloh Rd
Corinth, MS 38834-3635

Mailing address

1708 E Shiloh Rd
Corinth, MS 38834-3635
Phone (662) 284-4656

Other identifiers 2

IdentifierTypeStateIssuer
3149357OtherMSBC/BS OF TN
00123001MedicaidMS

National Provider Directory

National Provider Directory

Locations

1708 E Shiloh Rd
Corinth, MS 38834
Phone (662) 284-4656

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1467561670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 E SHILOH RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388343635",
            "telephone_number": "662-284-4656",
            "fax_number": "662-665-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 E SHILOH RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388343635",
            "telephone_number": "662-284-4656",
            "fax_number": "662-665-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCORN REHAB SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "662-284-4656",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "5927860001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TN",
            "identifier": "3149357",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123001",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.