Medicomp, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MEDICOMP, INC

Doing business as

Medicomp Physical Therapy Crystal Springs

Practice address

513 W Marion Ave
Crystal Springs, MS 39059-2748

Phone

(888) 976-2667

Fax

(601) 824-8828

NPI assigned

May 12, 2015

Organization subpart

No

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

Authorized official

Name

Joseph McNulty

Title

Ceo

Phone

(601) 849-6440

Specialties & licenses 1

Addresses

Other names 1

• Medicomp Physical Therapy Crystal Springs Doing business as

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1588042451",
    "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",
            "fax_number": "601-849-6443"
        },
        {
            "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": "888-976-2667",
            "fax_number": "601-824-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICOMP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "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"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicomp Physical Therapy Crystal Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luretta L Martin, MSHAE
• Amber Gail McCullum, PT
• Martha McGrew
• Henry L McGuire, RPH
• Tonya G McLendon, PT
• Shirley D Moncure
• Lashaundra I Myers
• William Robert Myers, RPH
• Neuro Rehabcare-Tass
• Open Arms Children'S Clinic LLC,

• Physical Therapist in Crystal Springs, MS
• Providers in Crystal Springs, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.