Provider Demographics
NPI:1154880540
Name:CORE REHABILITATION, LLC
Entity type:Organization
Organization Name:CORE REHABILITATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMEY
Authorized Official - Middle Name:SIMS
Authorized Official - Last Name:MURPHREE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:662-315-7333
Mailing Address - Street 1:PO BOX 165
Mailing Address - Street 2:
Mailing Address - City:SALTILLO
Mailing Address - State:MS
Mailing Address - Zip Code:38866-0165
Mailing Address - Country:US
Mailing Address - Phone:662-315-7333
Mailing Address - Fax:
Practice Address - Street 1:143C WILLOWBROOK DR
Practice Address - Street 2:
Practice Address - City:SALTILLO
Practice Address - State:MS
Practice Address - Zip Code:38866-6896
Practice Address - Country:US
Practice Address - Phone:662-269-2880
Practice Address - Fax:662-269-3221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-15
Last Update Date:2022-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty