Physical Therapy Clinic of Gulfport

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT1574 Issued in MS

Legal business name

PHYSICAL THERAPY CLINIC OF GULFPORT

Practice address

3506 Washington Ave
Ste. D
Gulfport, MS 39507-3103

Phone

(228) 863-0200

Fax

(228) 863-0809

NPI assigned

Jul 13, 2006

Last updated

Jul 2, 2008By 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

Mr. Steven W Holland, P.T.NPI 1609827054

Title

Physical Therapist, Owner

Phone

(228) 863-0200

Specialties & licenses 1

Addresses

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.

• Steven William Holland, P.T.

  • Physical Therapist
  • Ocean Springs, MS
  • NPI 1609827054

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1841215670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 WASHINGTON AVE",
            "address_2": "STE. D",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073103",
            "telephone_number": "228-863-0200",
            "fax_number": "228-863-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 WASHINGTON AVE",
            "address_2": "STE. D",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073103",
            "telephone_number": "228-863-0200",
            "fax_number": "228-863-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CLINIC OF GULFPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "228-863-0200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MS",
            "license": "PT1574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Clinical Labs Inc
• Phoenix Independent Living
• Phoenix Independent Living Inc
• Phoenix Independent Living Inc
• Phyllis L Dickerson LCSW
• Physicians Care Plaza, LLC
• Physicians Pain and Spine Specialists
• Christopher Scott Pickreign
• Gregory Kevin Picou, D.C.
• Samantha C Pierce, OTR/L

• Orthopedic Physical Therapist in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Orthopedic Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.