Actimed
LBN: Actimed, Llc
Actimed is an health care organization with primary practice located at 1074 Highway 13 N , Brandon MS 39042-8568. The organization recently has 6 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Ambulatory Health Care Facilities / Physical Therapy. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Actimed, Llc can be contacted via phone (601) 825-0101, or through Adcock, Jasper Winton via phone (601) 722-2222.
Contact Information
Primary practice address
1074 Highway 13 N
Brandon MS 39042-8568
Phone: (601) 825-0101
Fax: (601) 825-0102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5208 | Mississippi |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | Mississippi | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | Mississippi | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 2664 | Mississippi |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | Mississippi | |
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X |
Profile Details
| NPI number | 1386147817 |
|---|---|
| LBN Legal business name | Actimed, Llc |
| DBA Doing business as | Actimed |
| Authorized official | Adcock, Jasper Winton PT, OT, RHIA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 12th, 2018 |
| Last updated | Feb 23rd, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386147817 | NPPES |
| Mississippi | MEDICAID | 06529750 | |
| Mississippi | MEDICAID | 3185373 |
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