Provider Demographics
NPI:1427386903
Name:PHYSICAL THERAPY FIRST LLC
Entity Type:Organization
Organization Name:PHYSICAL THERAPY FIRST LLC
Other - Org Name:MCCOLUMN PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:R
Authorized Official - Last Name:MCCOLUMN
Authorized Official - Suffix:
Authorized Official - Credentials:PT,DPT
Authorized Official - Phone:601-487-8456
Mailing Address - Street 1:4665 HIGHWAY 80 W
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39209-4808
Mailing Address - Country:US
Mailing Address - Phone:601-487-8456
Mailing Address - Fax:601-487-8456
Practice Address - Street 1:4665 HIGHWAY 80 W
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39209-4808
Practice Address - Country:US
Practice Address - Phone:601-487-8456
Practice Address - Fax:601-487-8456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPT0908225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS302G706395MMedicare UPIN