Chad M Newell, P.T.

Individual provider Active NPI Physical Therapist · Pass Christian, MS

NPI 1013945666 · NPPES record last updated Feb 18, 2013

Key facts

NPI
1013945666
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT3994 (MS)
Practice address
17000 Kapalama Rd.
Suite B
Pass Christian, MS 39571
Phone
(228) 255-6868
Fax
(228) 255-6860
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Medicine LTD (2 clinicians)

Practice addresses (Care Compare)

17000 Kapalama Rd
Suite B
Pass Christian, MS 39571-9761
Phone (228) 255-6868

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20051229000390 MS Practitioner - Physical Therapist in Private Practice 6406878727 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine LTD Physical Therapist Current
since Oct 1, 2005
Accepting new patients
Wellness Physical Therapy of Diamondhead Physical Therapist Past
since Feb 4, 2016
Accepting new patients

Locations

303 Highway 90
Bay St Louis, MS 39520
Phone (228) 238-0992

300 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 255-6868

1053 Tina Ladner Vic Faye Rd
Pass Christian, MS 39571
Phone (228) 255-5151

17000 Kapalama Rd
#B
Pass Christian, MS 39571
Phone (228) 255-6868

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT3994 MS Yes

Addresses

Primary practice location

17000 Kapalama Rd.
Suite B
Pass Christian, MS 39571

Mailing address

17000 Kapalama Rd.
Suite B
Pass Christian, MS 39571
Phone (228) 255-6868

Other providers in Pass Christian, MS

All providers in Pass Christian, MS · Physical Therapist in Mississippi

Sources for this page

Verify at the official NPI Registry.