Ridgeland Sports Medicine & Rehab, Inc
LBN: Ridgeland Sports Medicine & Rehab, Inc
Ridgeland Sports Medicine & Rehab, Inc is an health care organization with primary practice located at 665 S Pear Orchard Rd Suite 114, Ridgeland MS 39157-4861. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty.
Ridgeland Sports Medicine & Rehab, Inc can be contacted via phone (601) 956-1211, or through Ellison, Michelle C via phone (601) 956-1211.
Contact Information
Primary practice address
665 S Pear Orchard Rd Suite 114
Ridgeland MS 39157-4861
Phone: (601) 956-1211
Fax: (601) 956-2282
Website:
Authorized official contact:
Name: Ellison, Michelle C Physical Therapist (PT)
Phone: (601) 956-1211
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | MS PT0747 | Mississippi |
Profile Details
| NPI number | 1871689851 |
|---|---|
| LBN Legal business name | Ridgeland Sports Medicine & Rehab, Inc |
| DBA Doing business as | |
| Authorized official | Ellison, Michelle C Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 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 | 1871689851 | NPPES |
| Mississippi | Other | 5965404 | AETNA |
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