NPIMap

Organization Active NPI

Bienville Therapy, LLC

  • Physical Therapist
  • Pascagoula, MS
National Provider Identifier
1932965522
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BIENVILLE THERAPY, LLC
Practice address
3615 Hospital St Ste B
Pascagoula, MS 39581-4112
Phone
(228) 230-2663
NPI assigned
Feb 22, 2024
Last updated
Feb 22, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BIENVILLE ORTHOPAEDIC SPECIALISTS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Lee Bond
Title
Ceo
Phone
(228) 230-2663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

3615 Hospital St Ste B
Pascagoula, MS 39581-4112

Mailing address

6300 E Lake Blvd Ste 301
Vancleave, MS 39565-6771
Phone (228) 230-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240807000999 MS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1254878325 Receives reassigned benefits from 28 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Biloxi, MS; Gulfport, MS; Pascagoula, MS; Vancleave, MS

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Bienville Therapy LLC4 organizations share this tax ID, including this one
Part of
Bienville Ortho Spec

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1932965522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 E LAKE BLVD STE 301",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395656771",
            "telephone_number": "228-230-2663",
            "fax_number": "228-206-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 HOSPITAL ST STE B",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395814112",
            "telephone_number": "228-230-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIENVILLE THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIENVILLE ORTHOPAEDIC SPECIALISTS LLC",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "228-230-2663"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.