Healthcare Provider Details

I. General information

NPI: 1679565949
Provider Name (Legal Business Name): REHAB AT WORK OF SOUTH MISSISSIPPI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 DUTCH LN
COLUMBUS MS
39702-5523
US

IV. Provider business mailing address

500 HILL ST
ELLISVILLE MS
39437-2526
US

V. Phone/Fax

Practice location:
  • Phone: 662-241-4545
  • Fax: 662-241-4025
Mailing address:
  • Phone: 601-477-3060
  • Fax: 601-477-3070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DAWN POUNDERS
Title or Position: OFFICE MANAGER
Credential:
Phone: 662-241-4545