Organization Active NPI

Therapy First Outpatient Rehabilitation LLC

  • Physical Therapist
  • Jackson, MS
National Provider Identifier
1881767804
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THERAPY FIRST OUTPATIENT REHABILITATION LLC
Practice address
5451 Robinson Road Ext
Jackson, MS 39204-4138
Phone
(601) 371-5257
Fax
(601) 371-9986
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Authorized official

Name
Ms. Kathy R McColumn, PT
Title
Partner
Phone
(601) 371-5257

Specialties & licenses 1

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

Addresses

Primary practice location

5451 Robinson Road Ext
Jackson, MS 39204-4138

Mailing address

5451 Robinson Road Ext
Jackson, MS 39204-4138
Phone (601) 371-5257

Other identifiers 1

IdentifierTypeStateIssuer
9015259MedicaidMS

National Provider Directory

National Provider Directory

Locations

5451 Robinson Road Ext
Jackson, MS 39204
Phone (601) 371-5257

5451 Robinson Road Ext
#100
Jackson, MS 39204
Phone (601) 371-5257

Practitioners & affiliated clinicians

Practitioners 1

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1881767804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 ROBINSON ROAD EXT",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392044138",
            "telephone_number": "601-371-5257",
            "fax_number": "601-371-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 ROBINSON ROAD EXT",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392044138",
            "telephone_number": "601-371-5257",
            "fax_number": "601-371-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY FIRST OUTPATIENT REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "MCCOLUMN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "601-371-5257",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9015259",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.