JACKSON HAND AND UPPER EXTREMITY NPI 1154753986

NPI Information

NPI: 1154753986
Provider Name: JACKSON HAND AND UPPER EXTREMITY
Classification: Occupational Therapist - 225XH1200X
Entity Type: Organization

Specialization: Hand

Address:
1904 LAKELAND DR
SUITE D
JACKSON, MS
ZIP 39216
Phone: (601) 942-2709
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JACKSON HAND AND UPPER EXTREMITY is a hand occupational therapist in Jackson, MS. JACKSON HAND AND UPPER EXTREMITY NPI is 1154753986. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1904 LAKELAND DR
SUITE D
JACKSON, MS
ZIP 39216-038
Phone: (601) 942-2709
Fax: (601) 944-9780

The provider's authorized official is Robyn Roberts .
The authorized official title is Owner and has the following contact phone number (601) 942-2709.

The enumeration date for this NPI number is 8/2/2013 and was last updated on 7/8/2014.

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
1	225100000X	Physical Therapist		PT0987	MISSISSIPPI	No
2	225XH1200X	Occupational Therapist	Hand	45OT073	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6932800001	MEDICARE NSC	MISSISSIPPI

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: 11/14/2023

NPI Synchronization or Removal

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