Provider Demographics
NPI:1154423457
Name:PROFESSIONAL THERAPY SERVICES INC
Entity type:Organization
Organization Name:PROFESSIONAL THERAPY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, V PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:R
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:601-366-3400
Mailing Address - Street 1:1050 RIVER OAKS DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-9564
Mailing Address - Country:US
Mailing Address - Phone:601-366-3400
Mailing Address - Fax:601-366-3439
Practice Address - Street 1:1050 RIVER OAKS DR
Practice Address - Street 2:SUITE 110
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-9564
Practice Address - Country:US
Practice Address - Phone:601-366-3400
Practice Address - Fax:601-366-3439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS1710978515OtherK HILL NPI PROVIDER #
MS1801883095OtherM HILL NPI PROVIDER #
MS1134124845OtherJ MORGAN NPI PROVIDER #
MS1710982673OtherM FULTON NPI PROVIDER #
MS9016307Medicaid
MS9015664Medicaid
MS9015705Medicaid
MS1295731685OtherB THOMAS NPI PROVIDER #
AL1518962471OtherS ATKINS NPI PROVIDER #
MS1558366252OtherD FULTON NPI PROVIDER #
MS1174528871OtherC CLARK NPI PROVIDER #
MS1710982673OtherM FULTON NPI PROVIDER #