Active NPI
Kalyn M Preiss, DPT
- Physical Therapist
- Petal, MS
National Provider Identifier
1003420993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6986
- Practice address
- 1229 Highway 42 Ste 260
Petal, MS 39465-2733 - Phone
- (601) 909-2925
- Fax
- (601) 909-2952
- NPI assigned
- Sep 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6986 | MS | Primary |
Addresses
Primary practice location
1229 Highway 42 Ste 260
Petal, MS 39465-2733
Mailing address
1200 Corporate Dr
Suite 400
Birmingham, AL 35242
Phone (423) 206-4158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT6986 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Mississippi LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Crystal Springs, MS
- NPI 1801333521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1003420993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR",
"address_2": "SUITE 400",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35242",
"telephone_number": "423-206-4158",
"fax_number": "717-773-4654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 HIGHWAY 42 STE 260",
"city": "PETAL",
"state": "MS",
"postal_code": "394652733",
"telephone_number": "601-909-2925",
"fax_number": "601-909-2952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREISS",
"first_name": "KALYN",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-08",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT6986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petal, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.