OrganizationActive
Professional Rehab
NPI 1801906045 · Physical Therapist · Horn Lake, MS
Provider details
- NPI number
- 1801906045
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jacqueline Rueda, Physical Therapist/President(901) 438-8799
- License
- 4344 (TN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
6231 Ravenwood Cv
Horn Lake, MS 38637-2588
Phone: (901) 438-8799
Fax: (662) 280-3324
Street-level locationGet directions
Mailing address
6231 Ravenwood Cv
Horn Lake, MS 38637-2588
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.