OrganizationActive
2083 Therapy, LLC
NPI 1790585610 · Physical Therapy Clinic/Center · Philadelphia, MS
Provider details
- NPI number
- 1790585610
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- 2083 Therapy, LLC
- Organization subpart
- Yes
- Authorized official
- Joseph Mcnulty, Ceo(601) 469-4151
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
113 Lakeside Dr
Philadelphia, MS 39350-6504
Phone: (601) 469-4151
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box D
Forest, MS 39074-0558
Other names (DBA / former)
- Doing business as
- Pac Therapy
Registry dates
- Enumerated
- 2025-03-18
- Last updated
- 2025-03-18
- Certified
- 2025-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.