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:
Map and Directions
Authorized official contact:
Name: Adcock, Jasper Winton PT, OT, RHIA
Phone: (601) 722-2222

Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386147817 NPPES
Mississippi MEDICAID 06529750
Mississippi MEDICAID 3185373

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