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

Good Samaritan Physical Therapy, Inc

Organization Comprehensive Outpatient Rehabilitation Facility (CORF) · NPI 1023087855

Good Samaritan Physical Therapy, Inc is a Comprehensive Outpatient Rehabilitation Facility (CORF) in Vicksburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1901 Mission 66 Ste A
Vicksburg, MS 39180-3711
Phone: (601) 638-4076
Fax: (601) 638-4979
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Comprehensive Outpatient Rehabilitation Facility (CORF) (primary) Taxonomy 261QR0401X (MS)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Customized Equipment (DME) Taxonomy 332BC3200X
Nursing Facility Supplies (DME) Taxonomy 332BN1400X
Parenteral & Enteral Nutrition Supplies (DME) Taxonomy 332BP3500X
Oxygen Equipment & Supplies (DME) Taxonomy 332BX2000X

Record details

NPI number1023087855
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fermika Smith — Billing Manager · (601) 638-4076
NPI enumeratedMarch 15, 2006
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 822394, Vicksburg, MS 39182-2394

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