# VISIONS PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1548405236
- **Authorized official:** MARCUS T HARRIS PT (OWNER)
- **Authorized official phone:** (601) 636-6019

## Contact information

- **Practice address:** 4700 ROBINSON RD, JACKSON, MS 39204
- **Practice address phone:** (601) 636-6019
- **Practice address fax:** (601) 661-8457
- **Mailing address:** 4700 ROBINSON RD, JACKSON, MS 39204
- **Mailing address phone:** (601) 636-6019
- **Mailing address fax:** (601) 661-8457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT3192 | MS | Yes |
| 2355S0801X | Speech-Language Assistant | S3299 | MS | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PT3192 | MS | — |

## Other

- **Enumeration date:** 12/09/2008
- **Last updated:** 12/09/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 09015811 | — | MS |