MEDICARE: PREMIER REHAB

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	PT3192	MS
2	225X00000X	Occupational Therapist	OT2017	MS
3	225100000X	Physical Therapist	PT3573	MS

General Provider Information

NPI Number	:	1144340548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER REHAB

Provider Business Mailing Address
First Line	:	1054 HIGHLAND COVE PL
Second Line	:
City	:	RIDGELAND
State	:	MS
Zip	:	39157-1523
Country	:	US
Telephone Number	:	601-636-6019
Fax Number	:	601-661-8457

Provider Business Practice Location Address
First Line	:	230 BEASLEY RD
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39206-2944
Country	:	US
Telephone Number	:	601-636-6019
Fax Number	:	601-664-8457

Authorized Official
Title or Position	:	OWNER
Name	:	MARCUS T HARRIS
Credential	:	PT
Telephone Number	:	601-636-6019

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	09/11/2025

Similar Medicare Providers

1386427631 — BRIDGES NJ INC
Practice Location Address:

818 GREEN VALLEY RD
JACKSON, NJ
08527-2944

Practice Phone: 732-473-8496
Practice Fax:

1396685244 — BRIDGES NJ INC
Practice Location Address:

818 GREEN VALLEY RD
JACKSON, NJ
08527-2944

Practice Phone: 732-473-8496
Practice Fax:

1932058195 — INTERVENE ONE DIAGNOSTIC LLC
Practice Location Address:

4510 OFFICE PARK DR
JACKSON, MS
39206-6016

Practice Phone: 662-834-3432
Practice Fax:

1699145490 — INMOTION REHAB, LLC
Practice Location Address:

5411 I 55 N
JACKSON, MS
39206-3616

Practice Phone: 601-940-5906
Practice Fax: 601-510-9012

1235134065 — MISSISSIPPI MEDICAL, INC
Practice Location Address:

5836 N COMMERCE PLZ
JACKSON, MS
39206-2936

Practice Phone: 601-952-0124
Practice Fax: 601-978-1736

1497747661 — DR. GAIL V BENTON D.D.S.
Practice Location Address:

4463 N STATE ST
JACKSON, MS
39206

Practice Phone: 601-714-2908
Practice Fax:

Directions to “PREMIER REHAB ” 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.