Gulf Coast Physical Therapy Centers PA

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GULF COAST PHYSICAL THERAPY CENTERS PA

Practice address

250 Beauvoir Rd Ste 5
Biloxi, MS 39531-4026

Phone

(228) 223-6142

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael N Phillips, PT

Title

Secretary

Phone

(228) 864-1212

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Gulf Coast Physical Therapy Centers PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Gulf Coast Physical Therapy Centers PA

  • Physical Therapy Clinic/Center
  • Biloxi, MS
  • NPI 1053691253
  NPD tax ID
• Gulf Coast Physical Therapy Centers PA

  • Physical Therapist
  • Pascagoula, MS
  • NPI 1093897001
  NPD tax ID
• Gulf Coast Physical Therapy Centers PA

  • Physical Therapist
  • Biloxi, MS
  • NPI 1285716282
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth John Ackerman

  • Physical Therapist
  • Gulfport, MS
  • NPI 1992812135
  NPD (past)
• Terri A Botters, P.T.

  • Physical Therapist
  • Gulfport, MS
  • NPI 1396047064
  NPD (past)
• Jeffrey Willis Hahn, PT

  • Physical Therapist
  • Biloxi, MS
  • NPI 1619084860
  NPD (past)
• Timothy Joseph Kruchowsky, PT

  • Physical Therapist
  • Gulfport, MS
  • NPI 1083722284
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598847592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 45TH AVE STE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395013714",
            "telephone_number": "228-864-1212",
            "fax_number": "228-868-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BEAUVOIR RD STE 5",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314026",
            "telephone_number": "228-223-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST PHYSICAL THERAPY CENTERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "228-864-1212",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09936268",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Outpatient Surgery Center, LLC
• Gulf Coast Outpatient Surgery Center, LLC
• Gulf Coast Physical Therapy Centers PA
• Gulf Coast Physical Therapy Centers PA
• Gulf Coast Physical Therapy Centers PA
• Gulf Coast Urgent Care, LLC
• Gulf Coast Vamc
• Gulf Coast Vascular Care, LLC
• Gulf Coast Veterans Health Care System
• Gulf Coast Wellness Center Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.