Nicholas Alan Gunter, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5727 Issued in MS

Practice address

3825 Highway 80 E
Pearl, MS 39208-4232

Phone

(601) 939-3030

Fax

(601) 939-3042

NPI assigned

Oct 30, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reliant, Inc.Group PAC ID 3476737834, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Reliant, Inc.

  • Physical Therapy Clinic/Center
  • Pearl, MS
  • NPI 1013213594

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1013389972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 HIGHWAY 80 E",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392084232",
            "telephone_number": "601-939-3030",
            "fax_number": "601-939-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HIGHWAY 80 E",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392084232",
            "telephone_number": "601-939-3030",
            "fax_number": "601-939-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNTER",
        "first_name": "NICHOLAS",
        "middle_name": "ALAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-30",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT5727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "453893ZRYN",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00538755",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gentle Hands Personal Care LLC
• Gipson Advisory Services
• Robert Giurintano
• Kandria Denise Green, PMHNP-BC
• Shanika Griffin
• Sherry Rutledge Gwin, DMD
• Hamiltondavis Care at Home, Inc.
• Hamiltondavis Medical Supply, Inc
• Hamiltondavis Mental Health, Inc.
• Grover Wade Hankins, DMD

• Physical Therapist in Pearl, MS
• Providers in Pearl, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.