# PREMIER REHAB

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

## Provider details

- **NPI number:** 1144340548
- **Authorized official:** MARCUS T HARRIS PT (OWNER)
- **Authorized official phone:** (601) 636-6019

## Contact information

- **Practice address:** 230 BEASLEY RD, JACKSON, MS 39206-2944
- **Practice address phone:** (601) 636-6019
- **Practice address fax:** (601) 664-8457
- **Mailing address:** 1054 HIGHLAND COVE PL, RIDGELAND, MS 39157-1523
- **Mailing address phone:** (601) 636-6019
- **Mailing address fax:** (601) 661-8457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT3192 | MS | — |
| 225100000X | Physical Therapist | PT3573 | MS | Yes |
| 225X00000X | Occupational Therapist | OT2017 | MS | — |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 09/11/2025