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FOOTPRINTS PEDIATRIC THERAPY PLLC NPI 1245786797


NPI Information

NPI: 1245786797
Provider Name: FOOTPRINTS PEDIATRIC THERAPY, PLLC
Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
135 PINEHILLS DR
HATTIESBURG, MS
ZIP 39402
Phone: (864) 293-3281
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FOOTPRINTS PEDIATRIC THERAPY, PLLC is a pediatrics physical therapist in Hattiesburg, MS. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. FOOTPRINTS PEDIATRIC THERAPY, PLLC NPI is 1245786797. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

135 PINEHILLS DR
HATTIESBURG, MS
ZIP 39402-317
Phone: (864) 293-3281

The provider's authorized official is Virginia C. Kolvites .
The authorized official title is Owner and has the following contact phone number (864) 293-3281.

The enumeration date for this NPI number is 8/25/2016 and was last updated on 9/6/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251P0200XPhysical TherapistPediatricsPT6066MISSISSIPPIYes

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: 4/28/2024

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