Physical Therapist, Sports
GULF COAST MENTAL HEALTH CENTER
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1548765670 · enumerated 2018-03-29 · record updated 2018-03-29. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: MANDY MCDONALD, Billing Supervisor · (228) 863-1132
Addresses and phones
- Practice location 1600 BROAD AVENUE, GULFPORT, MS, 39501 (228) 863-1132 Fax (228) 865-1700 Google Maps Apple Maps OpenStreetMap
- Mailing address 1600 BROAD AVENUE, GULFPORT, MS, 39501 (228) 863-1132 Fax (228) 865-1700 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist, Sports 2251S0007X · Primary · License M8456
In this directory
Locations and evidence
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Practice location
GULFPORT, MS, 39501
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.