Organization Active NPI

Hattieburg Physical Therapy Center

Doing business as Care Physical Therapy

  • Physical Therapist
  • Hattiesburg, MS
National Provider Identifier
1861522427
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HATTIEBURG PHYSICAL THERAPY CENTER
Doing business as
Care Physical Therapy
Practice address
52 98 Place Blvd
Hattiesburg, MS 39402-8603
Phone
(601) 296-0199
Fax
(601) 296-0189
NPI assigned
Mar 6, 2007
Last updated
May 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Mr. William T Cochran, MPTNPI 1417948068
Title
Owner
Phone
(601) 296-0199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

52 98 Place Blvd
Hattiesburg, MS 39402-8603

Mailing address

6068 U S Highway 98
Suite 1196
Hattiesburg, MS 39402-8883
Phone (601) 296-0199

Other names 1

  • CARE PHYSICAL THERAPY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070426000014 MS Part B Supplier - Clinic/Group Practice 1456457167 Receives reassigned benefits from 2 practitioners
Practice locations: Hattiesburg, MS

National Provider Directory

National Provider Directory

Locations

52 98 Place Blvd
Hattiesburg, MS 39402
Phone (601) 271-2742

6068 U S Highway 98
Ste 1196
Hattiesburg, MS 39402

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1861522427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6068 U S HIGHWAY 98",
            "address_2": "SUITE 1196",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028883",
            "telephone_number": "601-296-0199",
            "fax_number": "601-296-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 98 PLACE BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028603",
            "telephone_number": "601-296-0199",
            "fax_number": "601-296-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATTIEBURG PHYSICAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-296-0199",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARE PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.