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

Upa PLLC Rehabilitation

Organization Pediatric Rehabilitation Medicine Physician · NPI 1588781181

Upa PLLC Rehabilitation provides Pediatric Rehabilitation Medicine Physician services in Jackson, Mississippi. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-2940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Rehabilitation Medicine Physician (primary) Taxonomy 2081P0010X

Record details

NPI number1588781181
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Owen Evans — Managing Employee · (601) 984-5214
NPI enumeratedMarch 26, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2500 N State St, Jackson, MS 39216-4500

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