# MEDICOMP, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDICOMP, INC
- **Other names:** Medicomp Physical Therapy Madison
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487989950
- **Legal business name:** MEDICOMP, INC
- **Authorized official:** MR. JOSEPH S MCNULTY III (CEO)
- **Authorized official phone:** (601) 849-6440

## Contact information

- **Practice address:** 1 WOODGREEN PL, STE 101, MADISON, MS 39110-8161
- **Practice address phone:** (601) 605-1126
- **Practice address fax:** (601) 605-1891
- **Mailing address:** 110 PIONEER WAY, MAGEE, MS 39111
- **Mailing address phone:** (601) 849-6440
- **Mailing address fax:** (601) 849-1969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 953632 | MS | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | 953632 | MS | — |

## Other

- **Enumeration date:** 10/16/2009
- **Last updated:** 02/04/2014