Good Samaritan Physical Therapy,inc.
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
1901 Mission 66, Suite A, Vicksburg
Mississippi, 39180-3711
601-638-4076 601-638-4979
Good Samaritan Physical Therapy,inc. is a Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Vicksburg, Mississippi. It is located at 1901 Mission 66, Suite A, Vicksburg and it's customer support contact number is 601-638-4076. The authorized person of Good Samaritan Physical Therapy,inc. is Mrs. Fermika Smith who is Billing Manager of this DME and her contact number is 601-638-4076.
Good Samaritan Physical Therapy,inc. is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Good Samaritan Physical Therapy,inc. type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Good Samaritan Physical Therapy,inc. |
| Type: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Location: | 1901 Mission 66, Suite A, Vicksburg,
Mississippi, 39180-3711 |
| Phone: | 601-638-4076 |
| Fax: | 601-638-4979 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Fermika Smith |
| Position: | Billing Manager |
| Contact Number: | 601-638-4076 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1023087855 |
| NPI Enumeration Date: | 15 Mar, 2006 |
| NPI Last Update On: | 21 Jul, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Good Samaritan Physical Therapy,inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | | Mississippi | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Nursing Facility Supplies | | | Secondary | |
| Parenteral & Enteral Nutrition | | | Secondary | |
| Customized Equipment | | | Secondary | |
| Oxygen Equipment & Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000050976 | Other | Mississippi | Blue Cross Number |
| 1465739 | Medicaid | Louisiana | |
| 09015117 | Medicaid | Mississippi | |
| 4253810001 | Other | Mississippi | Dme |
| 5429586 | Other | Mississippi | Aetna Provider Number |
| 174112500 | Other | Mississippi | Owcp |
| 6430026 | Other | Mississippi | United Health Care Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 822394,
Vicksburg, Mississippi |
| Zip: | 39182-2394 |
| Phone Number: | 601-638-4076 |
| Fax Number: | 601-638-4979 |
Patients can reach Good Samaritan Physical Therapy,inc. at
1901 Mission 66, Suite A, Vicksburg, Mississippi or can
call on customer care at 601-638-4076.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.