MEDICARE: VIP REHAB, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT0751	MS
2	225X00000X	Occupational Therapist	OT0928	MS

General Provider Information

NPI Number	:	1639268071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIP REHAB, INC

Provider Business Mailing Address
First Line	:	1058 HOLLAND AVE
Second Line	:
City	:	PHILADELPHIA
State	:	MS
Zip	:	39350-1058
Country	:	US
Telephone Number	:	601-650-9111
Fax Number	:	601-650-1972

Provider Business Practice Location Address
First Line	:	1058 HOLLAND AVE
Second Line	:
City	:	PHILADELPHIA
State	:	MS
Zip	:	39350-9121
Country	:	US
Telephone Number	:	601-650-9111
Fax Number	:	601-650-1972

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	MR. TERRY MARK WINSTEAD
Credential	:	OTR/L
Telephone Number	:	601-650-9111

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	11/02/2010

Similar Medicare Providers

1578545968 — DR. MICHAEL B. SHROCK D.O.
Practice Location Address:

1056 HOLLAND AVE
PHILADELPHIA, MS
39350-9121

Practice Phone: 601-656-8545
Practice Fax: 601-656-3985

1346351657 — AIRPARK PHYSICAL THERAPY LP
Practice Location Address:

1058 HOLLAND AVE
PHILADELPHIA, MS
39350-9121

Practice Phone: 601-650-9111
Practice Fax: 601-650-1972

1942394648 — MR. TERRY MARK WINSTEAD OTR
Practice Location Address:

1058 HOLLAND AVE
PHILADELPHIA, MS
39350-9121

Practice Phone: 601-656-2776
Practice Fax:

1023103207 — MRS. MELISSA GRAY CLARK R. P. T.
Practice Location Address:

1058 HOLLAND AVE
PHILADELPHIA, MS
39350-9121

Practice Phone: 601-650-9111
Practice Fax: 601-650-1972

1194916817 — MRS. MICHELE MAXEY PT
Practice Location Address:

1058 HOLLAND AVE
PHILADELPHIA, MS
39350-9121

Practice Phone: 601-650-9111
Practice Fax: 601-650-1972

1255654778 — DR. DONALD GRANT GUILD MD
Practice Location Address:

1056 HOLLAND AVE
PHILADELPHIA, MS
39350-9121

Practice Phone: 601-656-8545
Practice Fax: 601-656-3985

Directions to “VIP REHAB, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.