MEDICARE: TEAM 82 PHYSICAL THERAPY

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

General Provider Information

NPI Number	:	1154626497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEAM 82 PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	PO BOX 16153
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39236-6153
Country	:	US
Telephone Number	:	601-951-9760
Fax Number	:

Provider Business Practice Location Address
First Line	:	1198 LAKELAND DR
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39216-4701
Country	:	US
Telephone Number	:	601-951-9760
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MR. JIMMY LEE SMITH II
Credential	:
Telephone Number	:	601-497-1200

Provider Enumeration Date	:	01/18/2011
Last Update Date	:	01/18/2011

Similar Medicare Providers

1265563779 — CENTRAL MS. PLANNING & DEV. DISTRICT, INC.
Practice Location Address:

1170 LAKELAND DR
JACKSON, MS
39216-4701

Practice Phone: 601-981-1511
Practice Fax:

1043581614 — CENTRAL MS PLANNING & DEVELPMENT DISTRICT
Practice Location Address:

1170 LAKELAND DR
JACKSON, MS
39216-4701

Practice Phone: 601-981-1511
Practice Fax: 601-981-1515

1811945280 — MARIAN LEIGH ST. PETERY DO
Practice Location Address:

71 JACKSON ST
HARPERSVILLE, AL
35078-4701

Practice Phone: 205-672-1002
Practice Fax: 205-672-1009

1477910172 — FIVE POINTS HEALTHCARE OF ALABAMA, LLC
Practice Location Address:

71 JACKSON ST
HARPERSVILLE, AL
35078-4701

Practice Phone: 205-235-3232
Practice Fax:

1255563052 — ANNE ROBERSON CHAPMAN FNP-BC
Practice Location Address:

969 LAKELAND DR
JACKSON, MS
39216-4606

Practice Phone: 601-200-5354
Practice Fax: 601-200-0124

1205323177 — DR. WILLIAM TYLER FULLER MD
Practice Location Address:

971 LAKELAND DR STE 1052
JACKSON, MS
39216-4609

Practice Phone: 601-981-9503
Practice Fax:

Directions to “TEAM 82 PHYSICAL THERAPY ” 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 © 2007-2025 (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.