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Paragon Rehab, LLC

Physical Therapy Assistant in Liberty, MS · enumerated 2011 · authorized official Sally Mccoy, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790074631

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Registry record

Entity type Organization (Type 2)
Legal business name Paragon Rehab, LLC
Parent organization Clc of Liberty, LLC
Practice address 323 Industrial Park, Liberty, MS, 39645
Phone (601) 657-1000
Fax (601) 657-9121
Enumeration date Mar 31, 2011
Last updated in NPPES Mar 31, 2011

Taxonomy & classification

225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PTA 4044 (MS) Primary

Authorized official

Name Sally Mccoy
Title Administrator
Phone (601) 657-1000

Other identifiers

Identifier Type State Issuer
00230121 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Paragon Rehab, LLC?
Paragon Rehab, LLC is registered in NPPES as a Physical Therapy Assistant (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-03-31.