Centric Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT3577 Issued in MS

Legal business name

CENTRIC PHYSICAL THERAPY LLC

Practice address

16120 Landon Rd
Gulfport, MS 39503-6119

Phone

(985) 788-8007

NPI assigned

May 30, 2017

Organization subpart

No

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

Authorized official

Name

Brian Daniel BoydNPI 1811918386

Title

Owner/ Physical Therapist

Phone

(985) 788-8007

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, LA2 enrollments

Enrollment records 2

Locations

Practitioners 5

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

• Brian Daniel Boyd, P.T.

  • Physical Therapist
  • Slidell, LA
  • NPI 1811918386

  MS

  Medicare reassignment Care Compare group NPD Authorized official
• Michael Dennis Rogers, PT

  • Physical Therapist
  • Diberville, MS
  • NPI 1730427956
  Medicare reassignment Care Compare group NPD
• Douglas R Vanheel, PT/ATC

  • Specialist
  • Biloxi, MS
  • NPI 1528281748

  Physical Therapist

  Medicare reassignment NPD
• Peter John Vitello, MSPT

  • Physical Therapist
  • Matthews, NC
  • NPI 1336165026

  MS

  Medicare reassignment NPD
• Francisco Camero, MD

  • Family Medicine Physician
  • Gulfport, MS
  • NPI 1740365055
  NPD (past)

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496102400000",
    "number": "1871021345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11532 COLEMAN RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034140",
            "telephone_number": "985-445-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16120 LANDON RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395036119",
            "telephone_number": "985-788-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRIC PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2017-05-30",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "985-788-8007"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MS",
            "license": "PT3577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Joseph Cefalu, LMT 2859
• Faye Centeno, WHCNP
• Center for Diabetes Management, PLLC
• Center for Health Management, the
• Centerwell Senior Primary Care Ms PC
• Tysheka Cephas, CRNP, PMHNP-BC
• CFV, Inc
• Walter Gillican Chamberlain Jr., M.ED, LPC, BCBA
• Mona Chambers, BS
• Cherie Champagne, M.D.

• Physical Therapy Clinic/Center in Gulfport, MS
• Providers in Gulfport, 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 May 30, 2017; 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.