Organization Active NPI

Preferred Care Rehab

  • Occupational Therapist
  • Iuka, MS
National Provider Identifier
1801018106
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT1834 Issued in MS
Legal business name
PREFERRED CARE REHAB
Practice address
502 Battleground Drive
Iuka, MS 38852
Phone
(662) 423-2103
Fax
(662) 423-2988
NPI assigned
May 3, 2007
Last updated
Jul 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Authorized official

Name
David Pryce-Jones
Title
Co-Ceo
Phone
(662) 279-9949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT1834 MS Primary

Addresses

Primary practice location

502 Battleground Drive
Iuka, MS 38852

Mailing address

502 Battleground Drive
Iuka, MS 38852
Phone (662) 423-2103

Other identifiers 1

IdentifierTypeStateIssuer
01880560MedicaidMS

National Provider Directory

National Provider Directory

Locations

1309 Battleground Dr
Iuka, MS 38852
Phone (662) 423-2103

502 Battleground Dr
Iuka, MS 38852
Phone (662) 423-2103

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1801018106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 BATTLEGROUND DRIVE",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "38852",
            "telephone_number": "662-423-2103",
            "fax_number": "662-423-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 BATTLEGROUND DRIVE",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "38852",
            "telephone_number": "662-423-2103",
            "fax_number": "662-423-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED CARE REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "PRYCE-JONES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "662-279-9949"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT1834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01880560",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iuka, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.