Gulf Coast Physical Therapy Centers PA

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GULF COAST PHYSICAL THERAPY CENTERS PA

Practice address

9471 Three Rivers Rd
Unit D
Gulfport, MS 39503-4230

Phone

(228) 822-9066

Fax

(228) 822-9722

NPI assigned

Oct 19, 2006

Last updated

Oct 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth J Ackerman, PTNPI 1992812135

Title

President

Phone

(228) 822-9066

Specialties & licenses 1

Addresses

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.

• Kenneth John Ackerman

  • Physical Therapist
  • Gulfport, MS
  • NPI 1992812135
  Authorized official Same address or phone

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1497837488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3238",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395053238",
            "telephone_number": "228-822-9066",
            "fax_number": "228-822-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9471 THREE RIVERS RD",
            "address_2": "UNIT D",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034230",
            "telephone_number": "228-822-9066",
            "fax_number": "228-822-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST PHYSICAL THERAPY CENTERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-822-9066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Neuropsychology, LLC
• Gulf Coast Neurospa LLC
• Gulf Coast Pediatric Care LLC
• Gulf Coast Pediatric Dentistry PLLC
• Gulf Coast Periodontics & Implants LLC
• Gulf Coast Plastic Surgery
• Gulf Coast Play Therapy Clinic, LLC
• Gulf Coast Psychotherapy
• Gulf Coast Recovery Clinic
• Gulf Coast Spinal & Neurosurgical Specialists

• Physical Therapist in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.