Active NPI
James David Holbrook, PT
- Physical Therapist
- Magee, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2347
- Practice address
- 301 2ND St SE
Magee, MS 39111-3625 - Phone
- (601) 849-9882
- Fax
- (601) 849-9871
- NPI assigned
- Aug 17, 2007
- Last updated
- Aug 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2347 | MS | Primary |
Addresses
Primary practice location
301 2ND St SE
Magee, MS 39111-3625
Mailing address
301 2ND St SE
Magee, MS 39111-3625
Phone (601) 849-9882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
720 A 3Rd St SW
Magee, MS 39111-3995
Phone (601) 439-7042
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2347 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Enduracare Acute Care Services LLC | Physical Therapist | Past | Accepting new patients |
Locations
720A 3rd St SW
Magee, MS 39111
Phone (601) 439-7042
1058 Holland Ave
Philadelphia, MS 39350
Phone (601) 650-0002
921 W Beacon St
Philadelphia, MS 39350
Phone (601) 650-0002
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- NPI 1851427132
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- Rehabilitation Clinic/Center
- Franklin, TN
- NPI 1568975506
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187308800000",
"number": "1649462177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 2ND ST SE",
"city": "MAGEE",
"state": "MS",
"postal_code": "391113625",
"telephone_number": "601-849-9882",
"fax_number": "601-849-9871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 2ND ST SE",
"city": "MAGEE",
"state": "MS",
"postal_code": "391113625",
"telephone_number": "601-849-9882",
"fax_number": "601-849-9871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBROOK",
"first_name": "JAMES",
"middle_name": "DAVID",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-17",
"last_updated": "2007-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT2347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Magee, MS
- Nicole Renee Hall, FNP-C
- Judy M. Harville, LCSW
- Hattiesburg Clinic PA (Magee Family Medicine)
- Helping Hands Hospice (Hospice In His Hands Magee)
- Vonetta Hill
- Jessica Megan Hollingsworth
- Hometown Healthcare of Magee, PLLC
- Hospice Providers, LLC (Hospice in His Hands - Magee Division)
- Independent Healthcare Management Inc (149 Pediatric and Family Clinic)
- Rosalind Jaynes, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.