SHILOH RIDGE ATHLETIC CLUB
NPI 1205061173
Clinic/Center - Physical Therapy in Corinth, MS

Active since May 21, 2009
3303 SHILOH RIDGE RD, CORINTH, MS 38834(662) 287-5662 Get Directions Write a Review

NPPES record last updated: May 21, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shiloh Ridge Athletic Club NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHILOH RIDGE ATHLETIC CLUB (NPI 1205061173) is a healthcare organization registered as a physical therapy in Corinth, Mississippi and active in the NPI registry since May 2009. The organization lists Kevin Boutin, Owner, as its authorized official.

NPPES Registry Identity

NPI1205061173
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameSHILOH RIDGE ATHLETIC CLUB
Location Address3303 SHILOH RIDGE RDCorinth, MS 38834-9698
Mailing AddressPo Box 3592Tupelo, MS 38803-3592 · (662) 287-5662 · Fax (662) 287-5662
Organization SubpartYesParent: Tri-vista Rehab Inc
Authorized OfficialKevin BoutinOwner · (662) 287-5662
Enumeration DateMay 21, 2009
NPI 1205061173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
3303 SHILOH RIDGE RD, Corinth, MS 38834

Other Identifiers 1

Medicare PIN256596MS

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
3303 SHILOH RIDGE RD
CORINTH, MS 38834

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shiloh Ridge Athletic Club's NPI number?

The NPI number for Shiloh Ridge Athletic Club is 1205061173. It was assigned to this organization in the NPPES registry on May 21, 2009.

Where is Shiloh Ridge Athletic Club located?

Shiloh Ridge Athletic Club is located at 3303 Shiloh Ridge Rd, Corinth, MS 38834. The listed phone number is (662) 287-5662.

What is Shiloh Ridge Athletic Club's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Shiloh Ridge Athletic Club was last updated on May 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.