NPIMap

Organization Active NPI

Mississippi Baptist Health Systems

  • Physical Therapist
  • Jackson, MS
National Provider Identifier
1750756201
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5515 Issued in MS
Legal business name
MISSISSIPPI BAPTIST HEALTH SYSTEMS
Practice address
1190 N State St
Jackson, MS 39202-2413
Phone
(601) 968-1148
Fax
(601) 968-1337
NPI assigned
Dec 9, 2015
Organization subpart
Yes
Parent organization
MISSISSIPPI BAPTIST MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Ken Causey
Title
Director of Rehabilitation
Phone
(601) 968-1148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT5515 MS Primary

Addresses

Primary practice location

1190 N State St
Jackson, MS 39202-2413

Mailing address

PO Box 23090
Jackson, MS 39225-3090
Phone (601) 968-1148

National Provider Directory

National Provider Directory
Tax ID family
Baptist PT - Northtown42 organizations share this tax ID, including this one
Part of
Ms Baptist Med Ctr Inc

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1750756201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23090",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392253090",
            "telephone_number": "601-968-1148",
            "fax_number": "601-968-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022413",
            "telephone_number": "601-968-1148",
            "fax_number": "601-968-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI BAPTIST HEALTH SYSTEMS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSISSIPPI BAPTIST MEDICAL CENTER",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "CAUSEY",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "DIRECTOR OF REHABILITATION",
        "authorized_official_telephone_number": "601-968-1148"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT5515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.