NPIMap

Organization Active NPI

2083 Therapy, LLC

Doing business as 2083 Therapy of Crystal Springs

  • Physical Therapy Clinic/Center
  • Crystal Springs, MS
National Provider Identifier
1528577392
Registry record updated Sep 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
2083 THERAPY, LLC
Doing business as
2083 Therapy of Crystal Springs
Practice address
513 W Marion Ave
Crystal Springs, MS 39059-2748
Phone
(601) 281-5930
NPI assigned
Sep 25, 2017
Last updated
Sep 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2017

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

Authorized official

Name
Joseph McNulty IV
Title
Ceo
Phone
(601) 849-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

513 W Marion Ave
Crystal Springs, MS 39059-2748

Mailing address

110 Pioneer Way
Magee, MS 39111-5501
Phone (601) 849-6440

Other identifiers 1

IdentifierTypeStateIssuer
1109164OtherMSBUSINESS LICENSE

Other names 1

  • 2083 Therapy of Crystal Springs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
2083 Therapy LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506297600000",
    "number": "1528577392",
    "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": "391115501",
            "telephone_number": "601-849-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 W MARION AVE",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "390592748",
            "telephone_number": "601-281-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2083 THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-849-6440",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "1109164",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "2083 Therapy of Crystal Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; 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.