Active NPI
Sports Therapy Center
- Physical Therapist
- Ridgeland, MS
National Provider Identifier
1942586383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- SPORTS THERAPY CENTER
- Practice address
- 207 W Jackson St
Suite F
Ridgeland, MS 39157-2355 - Phone
- (601) 898-9503
- Fax
- (601) 898-4682
- NPI assigned
- Oct 31, 2011
- 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
- Leanne Pfister
- Title
- Administrator
- Phone
- (281) 980-2997
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
207 W Jackson St
Suite F
Ridgeland, MS 39157-2355
Mailing address
207 W Jackson St
Suite F
Ridgeland, MS 39157-2355
Phone (601) 898-9503
National Provider Directory
National Provider Directory- Tax ID family
- Sports Therapy Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Flowood, MS
- NPI 1508078809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320019200000",
"number": "1942586383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 W JACKSON ST",
"address_2": "SUITE F",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391572355",
"telephone_number": "601-898-9503",
"fax_number": "601-898-4682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 W JACKSON ST",
"address_2": "SUITE F",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391572355",
"telephone_number": "601-898-9503",
"fax_number": "601-898-4682"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPORTS THERAPY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-31",
"last_updated": "2011-10-31",
"status": "A",
"authorized_official_last_name": "PFISTER",
"authorized_official_first_name": "LEANNE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "281-980-2997"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.