NPIMap

Organization Active NPI

Quality Rehab, Inc

  • Physical Therapy Clinic/Center
  • Port Gibson, MS
National Provider Identifier
1669509352
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
256591 Issued in MS
Legal business name
QUALITY REHAB, INC
Practice address
701 Anthony St
Port Gibson, MS 39150-2053
Phone
(601) 437-0188
Fax
(601) 437-0190
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Shirley D Moncure, PT1807NPI 1477705929
Title
Administer PT
Phone
(601) 437-0188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 256591 MS Primary

Addresses

Primary practice location

701 Anthony St
Port Gibson, MS 39150-2053

Mailing address

701 Anthony St
P. O. Box 434
Port Gibson, MS 39150-2053
Phone (601) 437-0188

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669509352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ANTHONY ST",
            "address_2": "P. O. BOX 434",
            "city": "PORT GIBSON",
            "state": "MS",
            "postal_code": "391502053",
            "telephone_number": "601-437-0188",
            "fax_number": "601-437-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ANTHONY ST",
            "city": "PORT GIBSON",
            "state": "MS",
            "postal_code": "391502053",
            "telephone_number": "601-437-0188",
            "fax_number": "601-437-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONCURE",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTER PT",
        "authorized_official_telephone_number": "601-437-0188",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT1807"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MS",
            "license": "256591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Gibson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.