Belhaven Physical Therapy Clinic, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT2289 Issued in MS

Legal business name

BELHAVEN PHYSICAL THERAPY CLINIC, LLC

Practice address

1054 Greymont Ave
Jackson, MS 39202-2718

Phone

(601) 355-9624

Fax

(601) 353-6151

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Mark Belcher, PT

Title

Physical Therapist

Phone

(601) 355-9624

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811109457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 GREYMONT AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022718",
            "telephone_number": "601-355-9624",
            "fax_number": "601-353-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 GREYMONT AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022718",
            "telephone_number": "601-355-9624",
            "fax_number": "601-353-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELHAVEN PHYSICAL THERAPY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELCHER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "601-355-9624",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MS",
            "license": "PT2289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "PT2289",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Begley, LPC
• Marshall Edward Belaga, M.D.
• Brittany Nicole Belesky
• Allie Grace Belew
• Belhaven Nursing Center LLC
• John D Belknap, MD
• Blanche Mae Bell, ARNP
• Debra E Bell, CRNP
• Eric Michael Bell, M.D.
• Hampton Bell, DO

• Physical Therapy Clinic/Center in Jackson, MS
• Providers in Jackson, MS by specialty
• Physical Therapy Clinic/Center 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.