Healthcare Provider Details

I. General information

NPI: 1831209378
Provider Name (Legal Business Name): PAMELA M RIMES PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 FOX CHASE DR
HATTIESBURG MS
39402-2575
US

IV. Provider business mailing address

702 HILLENDALE DR
HATTIESBURG MS
39402-2618
US

V. Phone/Fax

Practice location:
  • Phone: 601-408-8700
  • Fax: 601-264-2285
Mailing address:
  • Phone: 601-408-8700
  • Fax: 601-264-2285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 1137
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: