Shiloh Ridge Athletic Club
NPI 1205061173 · Physical Therapy Clinic/Center · Corinth, MS
Shiloh Ridge Athletic Club is a Physical Therapy Clinic/Center organization in Corinth, MS (NPI 1205061173).
Provider details
- NPI number
- 1205061173
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Tri-Vista Rehab Inc
- Organization subpart
- Yes
- Authorized official
- Kevin Boutin, Owner(662) 287-5662
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-05-21
- Last updated
- 2009-05-21
Frequently asked questions
- What is Shiloh Ridge Athletic Club's NPI number?
- Shiloh Ridge Athletic Club's National Provider Identifier (NPI) is 1205061173, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shiloh Ridge Athletic Club?
- Shiloh Ridge Athletic Club is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Shiloh Ridge Athletic Club located?
- Shiloh Ridge Athletic Club's practice location on file with NPPES is 3303 Shiloh Ridge Rd, Corinth, MS 38834-9698.
- What is Shiloh Ridge Athletic Club's phone number?
- The practice phone number listed in the NPPES registry for Shiloh Ridge Athletic Club is (662) 287-5662.
- Who is the authorized official for Shiloh Ridge Athletic Club?
- The authorized official listed on Shiloh Ridge Athletic Club's NPPES record is Kevin Boutin, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shiloh Ridge Athletic Club's NPI active?
- Yes — Shiloh Ridge Athletic Club's NPI (1205061173) is active in the NPPES registry as of the last update on 2009-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.