CHR of Booneville, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT3039 Issued in MS

Legal business name

CHR OF BOONEVILLE, INC.

Doing business as

Caring Hands Rehab

Practice address

2405D E Chambers Dr
Booneville, MS 38829-8927

Phone

(662) 720-7050

Fax

(662) 720-7055

NPI assigned

Dec 18, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Bradley Jeff Stephenson, PTNPI 1134266901

Title

Physical Therapist / Clinic Owner

Phone

(662) 720-7050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Caring Hands Rehab Doing business as

Electronic endpoints 1

Locations

Practitioners 2

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.

• Bradley Jeff Stephenson, PT

  • Physical Therapist
  • Booneville, MS
  • NPI 1134266901
  Authorized official Same address or phone
• Larry Keith Vuncannon

  • Specialist
  • Iuka, MS
  • NPI 1609913466
  NPD (past)

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1992941165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405D E CHAMBERS DR",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388298927",
            "telephone_number": "662-720-7050",
            "fax_number": "662-720-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405D E CHAMBERS DR",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388298927",
            "telephone_number": "662-720-7050",
            "fax_number": "662-720-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHR OF BOONEVILLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JEFF",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST / CLINIC OWNER",
        "authorized_official_telephone_number": "662-720-7050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MS",
            "license": "PT3039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009015370",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bjstephensonpt@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2405D E Chambers Dr",
            "city": "Booneville",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388298927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Caring Hands Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Caver
• Charles D. Johnson, DDS
• David G Chase Sr., M.D.
• Meagan Cherry, NP
• Wendy Chisholm, CMHT
• Desiree Patience Nicole Chupp
• Kelly Clark
• CLC of Booneville, LLC (Longwood Community Living Center)
• Craig Webster Cleveland, O.D.
• Amy Cole, R.N.

• Physical Therapy Clinic/Center in Booneville, MS
• Providers in Booneville, MS by specialty
• Physical Therapy Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.

Verify at the official NPI Registry.