OrganizationActive
Advanced Rehabilitation, LLC
NPI 1164419222 · Physical Therapist · Greenwood, MS
Provider details
- NPI number
- 1164419222
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Meagan Cascio, Office Manager(662) 455-5010
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
702 Highway 82 West
Ste B
Greenwood, MS 38930
Phone: (662) 455-5010
Fax: (662) 455-5468
Approximate (ZIP-level) locationGet directions
Mailing address
702 Highway 82 West
Greenwood, MS 38930
Registry dates
- Enumerated
- 2005-10-04
- Last updated
- 2015-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.