Anchor Rehabilitation LLC
Organization Active NPI Physical Therapist · Corinth, MS
NPI 1922542646 · NPPES record last updated Jan 5, 2017
Key facts
- NPI
- 1922542646
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5534 (MS)
- Legal business name
- ANCHOR REHABILITATION LLC
- Practice address
- 2106 S Tate St Ste E
Corinth, MS 38834-7913 - Phone
- (662) 415-2782
- NPI assigned
- Dec 14, 2016
- Organization subpart
- No
Authorized official
- Name
- Patrick Wayne Hinton, DPT
- Title
- Physical Therapist
- Phone
- (662) 415-2782
Practitioners 13
-
Meredith Dillon, PT
-
Patrick Hinton, DPT
-
William Mark Rhodes, DPT
-
Julia Katie Shotts, PT, DPT
-
Kaylee Crump, M.S. SLP-CF
-
Dylan Hight, OT
-
Grace S Kather, SLP
-
Ashlee Lucinda Manahan, M.S., CCC-SLP
-
Chloe Nanney, LPC
-
Jourdon H Russell, SLP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170824001399 | MS | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 2961774047 |
Receives reassigned benefits from 5 practitioners Practice locations: Corinth, MS |
National Provider Directory
Locations
2106 S Tate St
#E
Corinth, MS 38834
Phone (662) 415-2782
2103 S Tate St
Corinth, MS 38834
Phone (662) 643-4043
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 5534 | MS | Yes |
| Occupational Therapist |
225X00000X | 2957 | MS | |
| Speech-Language Pathologist |
235Z00000X | S3887 | MS |
Addresses
Primary practice location
2106 S Tate St Ste E
Corinth, MS 38834-7913
Mailing address
2106 S Tate St Ste E
Corinth, MS 38834-7913
Phone (662) 415-2782
Other providers in Corinth, MS
- F Wayne Alexander
- William Nathanial Alexander
- Alliance Hospice, Inc
- Ali Alzeghoul
- Bob Amerson
- Anthony Lane Armstrong
- Sonja Bain Armstrong
- Robin Dawn Arnwine
- Gabriel Autry
- Keroles Ayoub
All providers in Corinth, MS · Physical Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.