Organization Active NPI

2083 Therapy, LLC

Doing business as 2083 Therapy of West Point

  • Physical Therapy Clinic/Center
  • West Point, MS
National Provider Identifier
1609389576
Registry record updated Nov 14, 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 West Point
Practice address
505 W Main St
West Point, MS 39773-2755
Phone
(662) 391-4000
NPI assigned
Nov 14, 2017
Last updated
Nov 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

505 W Main St
West Point, MS 39773-2755

Mailing address

505 W Main St
West Point, MS 39773-2755
Phone (662) 391-4000

Other identifiers 1

IdentifierTypeStateIssuer
1109164OtherMSBUSINESS LICENSE

Other names 1

  • 2083 Therapy of West Point 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": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1609389576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W MAIN ST",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397732755",
            "telephone_number": "662-391-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W MAIN ST",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397732755",
            "telephone_number": "662-391-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2083 THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "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": null,
            "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 West Point",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Point, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.