Customized Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT 1137 Issued in MS

Legal business name

CUSTOMIZED PHYSICAL THERAPY

Practice address

103 Fox Chase Dr
Hattiesburg, MS 39402-2575

Phone

(601) 408-8700

Fax

(601) 264-2285

NPI assigned

Jan 4, 2007

Last updated

Aug 22, 2020By 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

Mrs. Pamela M Rimes, P.T.

Title

Owner

Phone

(601) 408-8700

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851448708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 HILLENDALE DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022618",
            "telephone_number": "601-408-8700",
            "fax_number": "601-264-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 FOX CHASE DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022575",
            "telephone_number": "601-408-8700",
            "fax_number": "601-264-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOMIZED PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIMES",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-408-8700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MS",
            "license": "PT 1137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "PT 1137",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Cule, MD
• Jacklyn Cummins, DO
• Lauryn Elizabeth Cunningham, PLPC
• Steven G Cunningham, MD
• Patricia M Curb-Varnado, LCSW
• Jennifer Cutrer, LPC
• Roderick T Cutrer, MD
• Zachary Cutright, DO
• D and L Med LLC (Ole River Pharmacy)
• D H Halliwell Jr DDS PA

• Physical Therapy Clinic/Center in Hattiesburg, MS
• Providers in Hattiesburg, 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.