Organization Active NPI

Joy Health & Rehab of Cleveland, LLC

  • Occupational Therapist
  • Cleveland, MS
National Provider Identifier
1760710917
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
JOY HEALTH & REHAB OF CLEVELAND, LLC
Practice address
200 N Martin Luther King Dr
Cleveland, MS 38732-2821
Phone
(662) 843-5347
Fax
(662) 843-0751
NPI assigned
Nov 30, 2009
Last updated
Apr 12, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
COVENANT DOVE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Christopher J Murphy
Title
Vice President
Phone
(901) 937-7994

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU Primary
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

200 N Martin Luther King Dr
Cleveland, MS 38732-2821

Mailing address

200 N Martin Luther King Dr
Cleveland, MS 38732-2821
Phone (662) 843-5347

Other identifiers 1

IdentifierTypeStateIssuer
05982042MedicaidMS

National Provider Directory

National Provider Directory

Locations

200 N Martin Luther King Dr
Cleveland, MS 38732
Phone (662) 843-5347

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1760710917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N MARTIN LUTHER KING DR",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322821",
            "telephone_number": "662-843-5347",
            "fax_number": "662-843-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MARTIN LUTHER KING DR",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322821",
            "telephone_number": "662-843-5347",
            "fax_number": "662-843-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOY HEALTH & REHAB OF CLEVELAND, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COVENANT DOVE, LLC",
        "enumeration_date": "2009-11-30",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "901-937-7994"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05982042",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.