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GULF COAST MENTAL HEALTH CENTER NPI 1548765670


NPI Information

NPI: 1548765670
Provider Name: GULF COAST MENTAL HEALTH CENTER
Classification: Physical Therapist - 2251S0007X
Entity Type: Organization

Specialization: Sports

Address:
1600 BROAD AVENUE
GULFPORT, MS
ZIP 39501
Phone: (228) 863-1132
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GULF COAST MENTAL HEALTH CENTER is a sports physical therapist in Gulfport, MS. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. GULF COAST MENTAL HEALTH CENTER NPI is 1548765670. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1600 BROAD AVENUE
GULFPORT, MS
ZIP 39501
Phone: (228) 863-1132
Fax: (228) 865-1700

The provider's authorized official is Mandy Jo Mcdonald .
The authorized official title is Billing Supervisor and has the following contact phone number (228) 863-1132.

The enumeration date for this NPI number is 3/29/2018 and was last updated on 3/29/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251S0007XPhysical TherapistSportsM8456Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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