Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Abc Pediatric Therapy of Mississippi, LLC

Organization Clinic/Center · NPI 1821778713

Abc Pediatric Therapy of Mississippi, LLC is a Clinic/Center in Southaven, Mississippi. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1130 Stateline Rd E Ste D-E
Southaven, MS 38671-8700
Phone: (662) 536-6884
Fax: (662) 510-5892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X
Clinic/Center Taxonomy 261Q00000X
Rehabilitation Clinic/Center Taxonomy 261QR0400X

Record details

NPI number1821778713
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Whalum — Occupational Therapist · (662) 536-6884
NPI enumeratedJuly 24, 2023
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024
Mailing address1130 Stateline Rd E Ste D-E, Southaven, MS 38671-8700

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