Coastal Plains Interagency Coordinating Council

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT0399 Issued in MS

Legal business name

COASTAL PLAINS INTERAGENCY COORDINATING COUNCIL

Practice address

4063 Ginger Drie
Suite a
D'Lberville, MS 39540-3705

Phone

(228) 896-2824

Fax

(228) 896-2825

NPI assigned

Nov 15, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Judy Burchfield Rowe, PT

Title

Chairperson

Phone

(228) 896-2824

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robin Ladonna Hovermale, MS SLP CCC

  • Speech-Language Pathologist
  • Gulfport, MS
  • NPI 1962721035
  NPD (past)
• Janet Eugenie Mora

  • Speech-Language Pathologist
  • Gulfport, MS
  • NPI 1558692905
  NPD (past)
• Barbara F. Roberts, P,T.

  • Physical Therapist
  • Gulfport, MS
  • NPI 1558437335
  NPD (past)

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

{
    "created_epoch": "1258243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1962739722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4063 GINGER DRIE",
            "address_2": "SUITE A",
            "city": "D'LBERVILLE",
            "state": "MS",
            "postal_code": "395403705",
            "telephone_number": "228-896-2824",
            "fax_number": "228-896-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4063 GINGER DRIE",
            "address_2": "SUITE A",
            "city": "D'LBERVILLE",
            "state": "MS",
            "postal_code": "395403705",
            "telephone_number": "228-896-2824",
            "fax_number": "228-896-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PLAINS INTERAGENCY COORDINATING COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-15",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "BURCHFIELD",
        "authorized_official_title_or_position": "CHAIRPERSON",
        "authorized_official_telephone_number": "228-896-2824",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MS",
            "license": "PT0399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Mississippi Urgent Care

• All providers in D'Lberville, MS
• Pediatric Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.