Children'S Rehab – Physical Therapy Clinic/Center

Key facts

NPI: 1790015535
Entity type: Organization (NPI type 2)
Primary specialty: Physical Therapy Clinic/Center 261QP2000X
License: PT 1706 (MS)
Legal business name: CHILDREN'S REHAB
Practice address: 501 Highway 12 W Ste 150E
Starkville, MS 39759-3643
Phone: (662) 418-0233
Fax: (662) 338-5439
NPI assigned: Dec 29, 2009
Organization subpart: No

Authorized official

Name: Mrs. Karen E. Roberson, RPT
Title: Owner/Physical Therapist
Phone: (662) 418-0233

Corporate family (same tax ID) 1

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

Children'S Rehab Physical Therapist · Flowood, MS · NPI 1649748351

NPD tax ID

Practitioners 1

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

Karen Elizabeth Roberson, RPT Physical Therapist · Starkville, MS · NPI 1184836496

NPD (past)

National Provider Directory

Tax ID family: Children'S Rehab (2 organizations share this tax ID)

Locations

1108 Dr Martin Luther King Jr Dr W
Starkville, MS 39759
Phone (662) 418-0233

501 Highway 12 W
Ste 150E
Starkville, MS 39759
Phone (662) 418-0233

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapy Clinic/Center	261QP2000X	PT 1706	MS	Yes

Addresses

Primary practice location

501 Highway 12 W Ste 150E
Starkville, MS 39759-3643

Mailing address

1108 Dr Martin Luther King Jr Dr W
Starkville, MS 39759-8864
Phone (662) 418-0233

Other identifiers

Identifier	Type	State	Issuer
00123291	Medicaid	MS

Other providers in Starkville, MS

Stevi Laurene Carter, LPC
Gordon Michael Castleberry, M.D.
Cori Anne Cater
Amber Lynn Chancellor, FNP-BC
Rendarryl Chandler
Emily Ann Christein, M.S., CF-SLP
Christian Changes Counseling & Consulting
Katherine Christopher, PHARMD
Sungryung Chung
Roger C Clapp Jr., M.D.

All providers in Starkville, MS · Physical Therapy Clinic/Center in Mississippi

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.