Outpatient Rehabilitation Center of Fulton Inc
Organization Active NPI Rehabilitation Clinic/Center · Fulton, MS
NPI 1669538823 · NPPES record last updated Sep 27, 2018
Key facts
- NPI
- 1669538823
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- OUTPATIENT REHABILITATION CENTER OF FULTON INC
- Practice address
- 406 Interchange Drive
Fulton, MS 38843-8900 - Phone
- (662) 862-3070
- Fax
- (662) 862-4970
- NPI assigned
- Dec 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Angie B Izard
- Title
- Office Manager
- Phone
- (662) 862-3070
Practitioners 10
-
Rachel Chism, SLP
-
Courtney Martin Purvis, DPT, ATC
-
Elizabeth Arnold, PT
-
Kelly C McKay, SPEECH THERAPIST
-
Laura Orr, OT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140131001518 | MS | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 2860567948 |
Receives reassigned benefits from 5 practitioners Practice locations: Fulton, MS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
406 Interchange Drive
Fulton, MS 38843-8900
Mailing address
PO Box 188
Fulton, MS 38843-0188
Phone (662) 862-3070
Other providers in Fulton, MS
- Christi Renee Nanney
- North Mississippi Medical Clinics Inc
- Rebecca Claire Northington
- Laura Orr
- Kimberly B. Outlaw
- Michelle Owens
- Debra Pannell
- Kathryn Pastrell
- Redmed, LLC
- Redmed, LLC
All providers in Fulton, MS · Rehabilitation Clinic/Center in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.