Sentry Rehab, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SENTRY REHAB, LLC

Practice address

106A Office Park Dr
Brandon, MS 39042-2404

Phone

(601) 824-9010

Fax

(601) 824-9044

NPI assigned

Jan 4, 2017

Last updated

Jul 17, 2019By 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

Sonja Sharp Watkins

Title

Cfo

Phone

(601) 824-9010

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Tax ID family

Sentry Rehab LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sentry Rehab, LLC

  • Rehabilitation Clinic/Center
  • Brandon, MS
  • NPI 1881015147
  NPD tax ID

Locations

Practitioners 1

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.

• Elizabeth Ann Seal, NP-C

  • Family Nurse Practitioner
  • Bay St Louis, MS
  • NPI 1649688912
  Medicare reassignment NPD

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1831634518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106A OFFICE PARK DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422404",
            "telephone_number": "601-824-9010",
            "fax_number": "601-824-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106A OFFICE PARK DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422404",
            "telephone_number": "601-824-9010",
            "fax_number": "601-824-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTRY REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "SONJA",
        "authorized_official_middle_name": "SHARP",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "601-824-9010"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Letitia Seals
• Lindsey Dianne Self, M.S., CCC-SLP
• Kristen Selman, PT
• Elaine E Sendelweck, LMSW
• Chelsea Senitko, APRN
• Sentry Rehab, LLC
• Sentry-Brandon, Inc. (Peachtree Village)
• Meghan Seymour, PA-C
• Alexis Monet Shannon, MSW
• Brenda Sharp

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.