Active NPI
Complete Motion Physical Therapy LLC
- Physical Therapist
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- COMPLETE MOTION PHYSICAL THERAPY LLC
- Practice address
- 350 W Woodrow Wilson Ave Ste 370C
Jackson, MS 39213-7692 - Phone
- (601) 982-3065
- Fax
- (601) 982-3066
- NPI assigned
- Sep 19, 2022
- Last updated
- Sep 19, 2022
- 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
- Monique Thompson, DPT
- Title
- Co -Owner/PT
- Phone
- (601) 982-3065
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
350 W Woodrow Wilson Ave Ste 370C
Jackson, MS 39213-7692
Mailing address
350 W Woodrow Wilson Ave Ste 370C
Jackson, MS 39213-7692
Phone (601) 982-3065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09129824 | Medicaid | MS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | lapops |
National Provider Directory
National Provider DirectoryLocations
350 W Woodrow Wilson Ave
Ste 370C
Jackson, MS 39213
Phone (601) 982-3065
Practitioners & affiliated clinicians
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.
-
- Physical Therapist
- Ridgeland, MS
- NPI 1255631222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663545600000",
"number": "1962125666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 W WOODROW WILSON AVE STE 370C",
"city": "JACKSON",
"state": "MS",
"postal_code": "392137692",
"telephone_number": "601-982-3065",
"fax_number": "601-982-3066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 W WOODROW WILSON AVE STE 370C",
"city": "JACKSON",
"state": "MS",
"postal_code": "392137692",
"telephone_number": "601-982-3065",
"fax_number": "601-982-3066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE MOTION PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-19",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "MONIQUE",
"authorized_official_title_or_position": "CO -OWNER/PT",
"authorized_official_telephone_number": "601-982-3065",
"authorized_official_credential": "DPT"
},
"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": "09129824",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "lapops",
"affiliation": "N",
"address_1": "350 W Woodrow Wilson Ave Ste 370C",
"city": "Jackson",
"state": "MS",
"country_code": "US",
"postal_code": "392137692",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.