Gulf Coast Rehabilitation, PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT3521 Issued in MS

Legal business name

GULF COAST REHABILITATION, PC

Practice address

1706 Bienville Blvd
Ocean Springs, MS 39564-3073

Phone

(228) 818-9164

Fax

(228) 818-9167

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

Miss Jocelyn Alleen Mayfield, MPT, OTR/L

Title

President

Phone

(228) 818-9164

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Jocelyln A. Mayfield, MPT

  • Physical Therapist
  • Ocean Springs, MS
  • NPI 1861536286
  NPD (past)
• Marcia E Mayfield, LCSW, PIP

  • Clinical Social Worker
  • Daphne, AL
  • NPI 1083843270
  NPD (past)

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1730388554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 605",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395660605",
            "telephone_number": "228-818-9164",
            "fax_number": "228-818-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643073",
            "telephone_number": "228-818-9164",
            "fax_number": "228-818-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST REHABILITATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_middle_name": "ALLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-818-9164",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MPT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MS",
            "license": "PT3521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08635794",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Integrative Health, Inc
• Gulf Coast Neurology Center, PLLC
• Gulf Coast Physical Medicine Health and Rehabiliatation Inc
• Gulf Coast Plastic & Reconstructive Surgery, PLLC
• Gulf Coast Radiology Group, PA
• Gulf Coast Sleep Medicine LLC
• Gulf Coast Therapy Associates
• Gulf Shore Dermatology, PLLC
• Gulf South Wellness and Longevity PLLC
• Gulfshore Medical Consultants, PA

• Physical Therapy Clinic/Center in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Physical Therapy Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.