# MISSISSIPPI PHYSICAL THERAPY SERVICES OF BILOXI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mississippi Physical Therapy Services of Biloxi
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154914778
- **Authorized official:** JOSHUA L. PROFFITT (PRESIDENT)
- **Authorized official phone:** (337) 233-1307

## Contact information

- **Practice address:** 1651 POPPS FERRY RD STE 105, BILOXI, MS 39532-2249
- **Practice address phone:** (228) 273-4037
- **Practice address fax:** (228) 273-4154
- **Mailing address:** PO BOX 51266, LAFAYETTE, LA 70505-1266
- **Mailing address phone:** (337) 233-1307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 02/15/2021
- **Last updated:** 06/24/2024