Jessica Brooke Pettit, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4882 Issued in MS

Practice address

26049 W Main St
West Point, MS 39773-2760

Phone

(662) 391-4000

Fax

(662) 391-4002

NPI assigned

Apr 7, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medicomp Physical Therapy, LLC

  • Physical Therapist
  • West Point, MS
  • NPI 1023637402
  Medicare reassignment NPD Authorized official
• Enduracare Acute Care Services LLC

  • Rehabilitation Clinic/Center
  • Franklin, TN
  • NPI 1568975506

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1003202953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26049 W MAIN ST",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397732760",
            "telephone_number": "662-391-4000",
            "fax_number": "662-391-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26049 W MAIN ST",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397732760",
            "telephone_number": "662-391-4000",
            "fax_number": "662-391-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "JESSICA",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT4882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Outlaw, MS
• Maria Cooper Page, FNP
• Anish Jayesh Patel
• Kimberly Kay Patterson
• Perspective Counseling Services, PLLC
• Megan McBrayer Pierce, FNP-C
• Larry Pittman
• Plaza Drug Co. Inc.
• Point City Drugs LLC
• Halsey D Posey, D.D.S.

• Physical Therapist in West Point, MS
• Providers in West Point, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.