| Rebound Outpatient Physical Therapy, Pa | |
|
600 Air Park Rd, Tupelo, MS 38801-7022 | |
| (662) 842-2100 | |
| (662) 842-2105 |
| Full Name | Rebound Outpatient Physical Therapy, Pa |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 600 Air Park Rd, Tupelo, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407915754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | PT3201 (Mississippi) | Primary |
| Provider Name | Mark C Bresee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104043728 PECOS PAC ID: 0941309207 Enrollment ID: I20070627000355 |
| Provider Name | Mary E Smallwood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346372711 PECOS PAC ID: 5799092045 Enrollment ID: I20150918000165 |
| Provider Name | Zachary D Bridges |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619590080 PECOS PAC ID: 5496142762 Enrollment ID: I20220505000931 |
| Provider Name | Hannah H Smallwood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770151151 PECOS PAC ID: 6709263908 Enrollment ID: I20220509001718 |
| Provider Name | Luke A Bynum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346654787 PECOS PAC ID: 4789039009 Enrollment ID: I20231006000308 |
| Provider Name | Lisa R Ross |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093534927 PECOS PAC ID: 6406380799 Enrollment ID: I20241108002143 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebound Outpatient Physical Therapy, Pa 600 Air Park Rd, Tupelo, MS 38801-7022 Ph: (662) 842-2100 | Rebound Outpatient Physical Therapy, Pa 600 Air Park Rd, Tupelo, MS 38801-7022 Ph: (662) 842-2100 |