Provider Demographics
NPI:1942450705
Name:FIRST STEP REHABILITATION INC.
Entity type:Organization
Organization Name:FIRST STEP REHABILITATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BELL
Authorized Official - Suffix:SR
Authorized Official - Credentials:RPT
Authorized Official - Phone:662-808-2210
Mailing Address - Street 1:102 COVEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:MS
Mailing Address - Zip Code:38834-7200
Mailing Address - Country:US
Mailing Address - Phone:662-808-2210
Mailing Address - Fax:662-287-4550
Practice Address - Street 1:3303 SHILOH RIDGE RD
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:MS
Practice Address - Zip Code:38834-9698
Practice Address - Country:US
Practice Address - Phone:662-808-2210
Practice Address - Fax:662-287-4550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPT1442225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS650000137OtherMEDICARE IDENTIFICATION NUMBER
MS1720135650OtherINDIVIDUAL NPI