Individual provider Active NPI

Brittany Latay McClendon Spivey, DPT

  • Physical Therapist
  • Forest, MS
National Provider Identifier
1013401017
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1129 Highway 35 S Ste 2
Forest, MS 39074-8829
Phone
(601) 469-1001
Fax
(601) 469-1009
NPI assigned
Jun 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT5296 MS
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1129 Highway 35 S Ste 2
Forest, MS 39074-8829

Mailing address

615 N Woodland Dr
Forest, MS 39074-3315
Phone (601) 507-0148

Other practice location 1

539 Deerfield Dr
Forest, MS 39074-6006
Phone (601) 469-2245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181011000353 MS Practitioner - Physical Therapist in Private Practice 2860744356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
2083 Therapy, LLCGroup PAC ID 4082976246, 11 clinicians

Practice addresses (Care Compare)

357 Simpson Hwy 149
Magee, MS 39111-3877
Phone (601) 849-2734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
2083 Therapy, LLC CurrentSince Jul 21, 2022 Accepting new patients
2083 Therapy, LLC CurrentSince Jul 21, 2022 Accepting new patients
2083 Therapy, LLC Physical Therapist Current Accepting new patients
Sta-Home Health Agency of Carthage, Inc Past Accepting new patients
Enduracare Acute Care Services LLC Physical Therapist Past Accepting new patients

Locations

1151 Highway 35 S
Forest, MS 39074
Phone (601) 469-2732

357 Simpson Highway 149
Magee, MS 39111
Phone (601) 849-2734

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1013401017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N WOODLAND DR",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390743315",
            "telephone_number": "601-507-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 HIGHWAY 35 S STE 2",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390748829",
            "telephone_number": "601-469-1001",
            "fax_number": "601-469-1009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "539 Deerfield Dr",
            "address_purpose": "LOCATION",
            "city": "Forest",
            "state": "MS",
            "postal_code": "390746006",
            "country_code": "US",
            "telephone_number": "601-469-2245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLENDON SPIVEY",
        "first_name": "BRITTANY",
        "middle_name": "LATAY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MS",
            "license": "PT5296",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.