SENTRY REHAB LLC NPI 1881015147

NPI Information

  • NPI: 1881015147
  • Provider Name: SENTRY REHAB, LLC
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Address: 106A OFFICE PARK DR
    BRANDON, MS
    ZIP 39042
  • Phone: (601) 824-9010

Map and Directions

Get Directions

NPI Details

SENTRY REHAB, LLC is a rehabilitation clinic center in Brandon, MS. SENTRY REHAB, LLC NPI is 1881015147. The provider is registered as an organization entity type.

The provider's business location address is:

106A OFFICE PARK DR
BRANDON, MS
ZIP 39042-404
Phone: (601) 824-9010
Fax: (601) 824-9044

The provider's authorized official is Cameron Dirk Goddard .
The authorized official title is Ar Manager and has the following contact phone number (601) 824-9010.

The enumeration date for this NPI number is 1/3/2014 and was last updated on 1/3/2014.

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
1261QR0400XClinic/CenterRehabilitationYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.