Organization Active NPI

Rehab Solutions PLLC

  • Physical Therapist
  • Tupelo, MS
National Provider Identifier
1861532715
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REHAB SOLUTIONS PLLC
Practice address
1893 S Eason Blvd
Tupelo, MS 38804-5953
Phone
(662) 840-2888
Fax
(662) 840-4245
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Mr. Joseph C Willis, P.T.NPI 1184764003
Title
Co Owner
Phone
(662) 840-2888

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

1893 S Eason Blvd
Tupelo, MS 38804-5953

Mailing address

PO Box 4
Tupelo, MS 38802-0004
Phone (662) 840-2888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050613000886 MS Part B Supplier - Clinic/Group Practice 4385688159 Receives reassigned benefits from 2 practitioners
Practice locations: Tupelo, MS

National Provider Directory

National Provider Directory

Locations

304 Highway 278 E
Amory, MS 38821
Phone (662) 257-9594

1893 S Eason Blvd
Tupelo, MS 38804
Phone (662) 840-2888

252 S Veterans Blvd
Tupelo, MS 38804
Phone (662) 840-3008

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1861532715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388020004",
            "telephone_number": "662-840-2888",
            "fax_number": "662-840-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 S EASON BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388045953",
            "telephone_number": "662-840-2888",
            "fax_number": "662-840-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "662-840-2888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.