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

Mid South Rehab Outpatient Clinic LLC

Organization Physical Therapy Clinic/Center · NPI 1265977847

Mid South Rehab Outpatient Clinic LLC is a Physical Therapy Clinic/Center in Jackson, Tennessee. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2017
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

3131 N Highland Ave
Jackson, TN 38305-3418
Phone: (601) 605-6777
Fax: (601) 607-1415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3507 W Main St, Erin, TN 37061-4148 — (931) 289-5460

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X (TN)

Record details

NPI number1265977847
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlean Williams — Vp Of Compliance/Him · (601) 909-4210
Other names 360 Total Rehab
NPI enumeratedJanuary 5, 2017
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing address599c Steed Rd, Ridgeland, MS 39157-1707

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