Mid South Rehab Services, Inc

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2824 Issued in MS

Legal business name

MID SOUTH REHAB SERVICES, INC

Practice address

711 Avignon Dr
Ridgeland, MS 39157

Phone

(601) 605-6777

NPI assigned

Nov 26, 2013

Organization subpart

No

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

Authorized official

Name

Terri Morgan

Title

HR Representative

Phone

(601) 605-6777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1699105833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 AVIGNON DR",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 AVIGNON DR",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-605-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID SOUTH REHAB SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "HR REPRESENTATIVE",
        "authorized_official_telephone_number": "601-605-6777"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT2824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angela Marie Miller, COTA
• Marsha Thomas Miller, LPC
• Kelly Leann Millican
• Laura Mims, OT

• Occupational Therapist in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.