Active NPI
Brittany Latay McClendon Spivey, DPT
- Physical Therapist
- Forest, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 2083 Therapy, LLC | Current | Accepting new patients | |
| 2083 Therapy, LLC | Current | 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.
-
- Physical Therapy Clinic/Center
- Philadelphia, MS
- NPI 1790585610
-
- Physical Therapy Clinic/Center
- Forest, MS
- NPI 1821568791
-
- Home Health Agency
- Carthage, MS
- NPI 1275674533
-
- Rehabilitation Clinic/Center
- Franklin, TN
- NPI 1568975506
Physical Therapist
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.