Magnolia Rehab Company

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MAGNOLIA REHAB COMPANY

Practice address

335 E Bay St
Magnolia, MS 39652-2815

Phone

(601) 783-9840

Fax

(601) 783-9040

NPI assigned

Feb 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David A Parker II

Title

Secretary

Phone

(601) 783-9840

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780725689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E BAY ST",
            "city": "MAGNOLIA",
            "state": "MS",
            "postal_code": "396522815",
            "telephone_number": "601-783-9840",
            "fax_number": "601-783-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E BAY ST",
            "city": "MAGNOLIA",
            "state": "MS",
            "postal_code": "396522815",
            "telephone_number": "601-783-9840",
            "fax_number": "601-783-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA REHAB COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "601-783-9840",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Renee Lemaster, FNP
• Angela Francshon Lofton-Varnado, AGACNP-BC
• Monica Roshail Magee, NURSE PRACTITIONER
• Magnolia Clinic, Inc.
• Magnolia Family Dental, PLLC
• Bryan Barret Martin, D.M.D.
• Jessica Rene' Mason, FNP-BC
• Mississippi State Department of Health (Southwest Home Health Agency 7C)
• Lindsey Joan Nobles, FNP-C
• Sharee Nobles, NP

• Physical Therapist in Magnolia, MS
• Providers in Magnolia, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.