Active NPI
Therapy First Outpatient Rehabilitation LLC
- Physical Therapist
- Jackson, MS
National Provider Identifier
1881767804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9015259 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Jackson, MS
- NPI 1619040649
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.