Active NPI
Maximum Mobility Rehabilitation & Fitness Inc
- Physical Therapy Clinic/Center
- Corinth, MS
National Provider Identifier
1487911269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- MAXIMUM MOBILITY REHABILITATION & FITNESS INC
- Practice address
- 125 Pratt Dr
Corinth, MS 38834-6040 - Phone
- (662) 415-6099
- NPI assigned
- Apr 18, 2012
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mrs. Dusty D Kyle
- Title
- Manager
- Phone
- (662) 415-6099
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120606000508 | MS | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 4385808153 |
Receives reassigned benefits from 1 practitioner Practice locations: Corinth, MS |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
125 Pratt Dr
Corinth, MS 38834-6040
Mailing address
125 Pratt Dr
Corinth, MS 38834-6040
Phone (662) 415-6099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 21, 2013.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382313600000",
"number": "1487911269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 PRATT DR",
"city": "CORINTH",
"state": "MS",
"postal_code": "388346040",
"telephone_number": "662-415-6099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 PRATT DR",
"city": "CORINTH",
"state": "MS",
"postal_code": "388346040",
"telephone_number": "662-415-6099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXIMUM MOBILITY REHABILITATION & FITNESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-18",
"last_updated": "2013-10-21",
"status": "A",
"authorized_official_last_name": "KYLE",
"authorized_official_first_name": "DUSTY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "662-415-6099",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Oct 21, 2013; 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.