Organization Active NPI

Huling Physical Therapy LLC

  • Physical Therapist
  • Olive Branch, MS
National Provider Identifier
1700598349
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HULING PHYSICAL THERAPY LLC
Practice address
6542 Goodman Rd Ste 101
Olive Branch, MS 38654-5559
Phone
(662) 874-5964
NPI assigned
Dec 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Mr. Marcus Ryan Huling, DPT
Title
Owner
Phone
(901) 359-5126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6542 Goodman Rd Ste 101
Olive Branch, MS 38654-5559

Mailing address

9571 Plantation Oaks Dr
Olive Branch, MS 38654-9088
Phone (901) 359-5126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230306002561 MS Part B Supplier - Clinic/Group Practice 0547633943 Receives reassigned benefits from 2 practitioners
Practice locations: Olive Branch, MS

National Provider Directory

National Provider Directory

Locations

6542 Goodman Rd
Ste 101
Olive Branch, MS 38654
Phone (662) 874-5964

Practitioners & affiliated clinicians

Practitioners 2

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": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1700598349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9571 PLANTATION OAKS DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386549088",
            "telephone_number": "901-359-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6542 GOODMAN RD STE 101",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386545559",
            "telephone_number": "662-874-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HULING PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "HULING",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-359-5126",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.