Wellnessworks of Crosby Memorial Hospital, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WELLNESSWORKS OF CROSBY MEMORIAL HOSPITAL, LLC

Practice address

104 Street a
Picayune, MS 39466-5466

Phone

(601) 749-2227

Fax

(601) 749-2241

NPI assigned

Oct 25, 2006

Last updated

Sep 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vincent E Cheshire, PTNPI 1619051315

Title

Managing Partner

Phone

(601) 749-2227

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vincent E Cheshire, PT

  • Orthopedic Physical Therapist
  • Picayune, MS
  • NPI 1619051315
  Authorized official Same address or phone

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1881778595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 STREET A",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394665466",
            "telephone_number": "601-749-2227",
            "fax_number": "601-749-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 STREET A",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394665466",
            "telephone_number": "601-749-2227",
            "fax_number": "601-749-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESSWORKS OF CROSBY MEMORIAL HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "CHESHIRE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "601-749-2227",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Waller, LCSW
• Kayla Lummus Warner, FNP-C
• Kendra Watts, CPNP
• Charlee Wedgeworth, PT
• Joy A. Weidemann, LCSW
• Adrienne Nicole Whitfield, APRN, CFNP
• Sherri Trahan Wilkinson
• Anna Goynes Williams, PHYSICAL THERAPIST
• Willow Bend Emergency Group, LLC
• Allison Makayla Wilson

• Physical Therapist in Picayune, MS
• Providers in Picayune, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.