NPIMap

Organization Active NPI

Reconnect Therapy

  • Skilled Nursing Facility
  • Iuka, MS
National Provider Identifier
1871862003
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
12072634 Issued in MS
Legal business name
RECONNECT THERAPY
Practice address
1410 W Quitman St
Iuka, MS 38852-1129
Phone
(662) 423-3422
Fax
(662) 423-5259
NPI assigned
Dec 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Mrs. Elizabeth Kavanagh, PT
Title
President
Phone
(251) 605-4669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 12072634 MS Primary

Addresses

Primary practice location

1410 W Quitman St
Iuka, MS 38852-1129

Mailing address

1410 W Quitman St
Iuka, MS 38852-1129
Phone (662) 423-3422

National Provider Directory

National Provider Directory
Tax ID family
LTC Therapy Solutions LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1871862003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 W QUITMAN ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521129",
            "telephone_number": "662-423-3422",
            "fax_number": "662-423-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 W QUITMAN ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521129",
            "telephone_number": "662-423-3422",
            "fax_number": "662-423-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECONNECT THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "KAVANAGH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-605-4669",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "12072634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iuka, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.