Active NPI
Medicomp, Inc
- Physical Therapist
- Madison, MS
National Provider Identifier
1487989950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MEDICOMP, INC
- Doing business as
- Medicomp Physical Therapy Madison
- Practice address
- 1 Woodgreen PL
Ste 101
Madison, MS 39110-8161 - Phone
- (601) 605-1126
- Fax
- (601) 605-1891
- NPI assigned
- Oct 16, 2009
- Organization subpart
- Yes
- Parent organization
- MEDICOMP, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph S McNulty III
- Title
- Ceo
- Phone
- (601) 849-6440
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 953632 | MS | |
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | 953632 | MS |
Addresses
Primary practice location
1 Woodgreen PL
Ste 101
Madison, MS 39110-8161
Mailing address
110 Pioneer Way
Magee, MS 39111
Phone (601) 849-6440
Other names 1
- Medicomp Physical Therapy Madison
National Provider Directory
National Provider Directory- Part of
- Mediscan
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391472000000",
"number": "1487989950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 PIONEER WAY",
"city": "MAGEE",
"state": "MS",
"postal_code": "39111",
"telephone_number": "601-849-6440",
"fax_number": "601-849-1969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WOODGREEN PL",
"address_2": "STE 101",
"city": "MADISON",
"state": "MS",
"postal_code": "391108161",
"telephone_number": "601-605-1126",
"fax_number": "601-605-1891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICOMP, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDICOMP, INC",
"enumeration_date": "2009-10-16",
"last_updated": "2014-02-04",
"status": "A",
"authorized_official_last_name": "MCNULTY",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "601-849-6440",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MS",
"license": "953632",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "MS",
"license": "953632",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medicomp Physical Therapy Madison",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Madison, MS
- Medical Foundation of Central Mississippi, Inc
- Medical Foundation of Central Mississippi, Inc
- Medical Foundation of Central Ms
- Medical Foundation of Central Ms Inc.
- Medical Nutrition Group
- Mary K Meeks, LPC
- Lloyd Franklin Mercer, MD
- Miller Family Chiropractic
- Miller Family Chiropractic PA
- Elizabeth Thompson Miller, OT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.