NPIMap

Organization Active NPI

Therapyworks

  • Assisted Living Facility
  • Laurel, MS
National Provider Identifier
1609164912
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
TA2354 Issued in MS
Legal business name
THERAPYWORKS
Practice address
5 Brianleigh Dr
Laurel, MS 39443-5798
Phone
(601) 467-3476
NPI assigned
Jul 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Authorized official

Name
Mr. Shannon Lane Brown, COTA
Title
Owner
Phone
(601) 467-3476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X TA2354 MS Primary

Addresses

Primary practice location

5 Brianleigh Dr
Laurel, MS 39443-5798

Mailing address

PO Box 4252
Laurel, MS 39441-4252
Phone (601) 467-3476

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1609164912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4252",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394414252",
            "telephone_number": "601-467-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BRIANLEIGH DR",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394435798",
            "telephone_number": "601-467-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPYWORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-467-3476",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MS",
            "license": "TA2354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.