Organization Active NPI

Professional Therapy Services Inc

  • Physical Therapist
  • Meridian, MS
National Provider Identifier
1831260454
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROFESSIONAL THERAPY SERVICES INC
Practice address
1001 14TH St
Suite a
Meridian, MS 39301-4458
Phone
(601) 693-6700
Fax
(601) 639-6699
NPI assigned
Nov 13, 2006
Last updated
Apr 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Authorized official

Name
Michael Fulton, P.T.
Title
President
Phone
(601) 693-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1001 14TH St
Suite a
Meridian, MS 39301-4458

Mailing address

1001 14TH St
Suite a
Meridian, MS 39301-4458
Phone (601) 693-6700

Other identifiers 1

IdentifierTypeStateIssuer
9016307MedicaidMS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1831260454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 14TH ST",
            "address_2": "SUITE A",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014458",
            "telephone_number": "601-693-6700",
            "fax_number": "601-639-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 14TH ST",
            "address_2": "SUITE A",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014458",
            "telephone_number": "601-693-6700",
            "fax_number": "601-639-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-693-6700",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9016307",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.