Drayer Physical Therapy of Tennessee LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DRAYER PHYSICAL THERAPY OF TENNESSEE LLC

Practice address

412A Battleground Drive
Iuka, MS 38852-1309

Phone

(662) 593-3111

Fax

(662) 593-3151

NPI assigned

Jan 20, 2017

Organization subpart

No

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

Authorized official

Name

Eric J Williams

Title

President and Ceo

Phone

(717) 220-2100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1659818375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 HIGHWAY 45 N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051320",
            "telephone_number": "662-327-6705",
            "fax_number": "662-327-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412A BATTLEGROUND DRIVE",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521309",
            "telephone_number": "662-593-3111",
            "fax_number": "662-593-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAYER PHYSICAL THERAPY OF TENNESSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "717-220-2100"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn B Doran, DMD
• Dr. Phillip H. Gray, P.a.
• Michelle Draper, FNP-BC
• Thomas Sutherland Draper, M.D.
• Drayer Physical Therapy Mississippi LLC
• James Dye, CMHT
• Rollin Fair, DPT
• Family Home Care, Inc.
• Family Home Care, Inc.
• Fast Pace Mississippi, PLLC

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

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