# EXOS PHYSICAL THERAPY & SPORTS MEDICINE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053825943
- **Authorized official:** GREG PERRY (PRESIDENT)
- **Authorized official phone:** (205) 259-3991

## Contact information

- **Practice address:** 6542 GOODMAN RD STE 101, OLIVE BRANCH, MS 38654-5559
- **Practice address phone:** (205) 259-3991
- **Mailing address:** 50 BAY ST, CLANTON, AL 35045-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/30/2017
- **Last updated:** 03/17/2018