Crossroads Rehabilitation Services, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CROSSROADS REHABILITATION SERVICES, INC

Practice address

206B Oxford Rd
New Albany, MS 38652-3115

Phone

(662) 534-4445

Fax

(662) 534-9449

NPI assigned

Oct 4, 2006

Last updated

Jan 24, 2012By 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

Mrs. Carrie R Stringer

Title

Business Manager

Phone

(662) 534-4445

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crossroads Rehab Other name

Locations

Practitioners 7

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.

• Joseph Chadwick Brown, PT

  • Physical Therapist
  • New Albany, MS
  • NPI 1811063019
  NPD
• Thomas Chandler Brown, PT

  • Physical Therapist
  • Tupelo, MS
  • NPI 1497822134
  NPD
• Carey A Freeze, PT

  • Physical Therapist
  • New Albany, MS
  • NPI 1326105883
  NPD
• Kevin Alan Park, OTR/L, CHT

  • Occupational Therapist
  • New Albany, MS
  • NPI 1215004965
  NPD
• Reginald Keith Wicker III, PT

  • Physical Therapist
  • Oxford, MS
  • NPI 1952468407
  NPD
• Mandy Marie Martin, ATC

  • Athletic Trainer
  • New Albany, MS
  • NPI 1952325284
  NPD (past)
• Audrey Megan Teel-Stanton, PT

  • Mechanotherapist
  • Holly Springs, MS
  • NPI 1407399454
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1598851222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206B OXFORD RD",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523115",
            "telephone_number": "662-534-4445",
            "fax_number": "662-534-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206B OXFORD RD",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523115",
            "telephone_number": "662-534-4445",
            "fax_number": "662-534-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS REHABILITATION SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "STRINGER",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "662-534-4445",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00986536",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Rehab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary Ray Craig, RPH
• Brittney Crawford, CSFA
• Creekmore Clinic, P.L.L.C.
• Samuel Joshua Creekmore III, M.D.
• Crossroads Rehabilitation Services
• Michael Shane Crotts, PA-S
• Dak Carriers, Inc. (Home Medical Alternatives)
• Breanna Faith Davis, FNP-C
• Hailey Ott Davis, FNP-C
• Sara Lynn Derrick, PMHNP-BC

• Physical Therapy Clinic/Center in New Albany, MS
• Providers in New Albany, MS by specialty
• Physical Therapy Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.