NPIMap

Organization Active NPI

Tri Therapy PLLC

  • Physical Therapist
  • Magnolia, MS
National Provider Identifier
1023280468
Registry record updated Jul 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TRI THERAPY PLLC
Practice address
335 E Bay St
Magnolia, MS 39652-2815
Phone
(601) 783-0220
Fax
(601) 783-0222
NPI assigned
Mar 26, 2008
Last updated
Jul 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2025

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

Authorized official

Name
Mr. Richard A Barker, PTNPI 1124143425
Title
Partner
Phone
(601) 833-7317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

335 E Bay St
Magnolia, MS 39652-2815

Mailing address

335 E Bay St
Magnolia, MS 39652-2815
Phone (601) 783-0220

Other practice location 1

314 Main St Ste C
Monticello, MS 39654-3702
Phone (601) 587-2563

Other practice location 2

509 Brookway Blvd
Brookhaven, MS 39601-3266
Phone (601) 833-7317

Other identifiers 1

IdentifierTypeStateIssuer
05686296MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081124000330 MS Part B Supplier - Clinic/Group Practice 3476613225 Receives reassigned benefits from 4 practitioners
Practice locations: Magnolia, MS; Monticello, MS; Brookhaven, MS

National Provider Directory

National Provider Directory
Tax ID family
Tri Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-7317

509 Brookway Blvd
Brookhaven, MS 39601
Phone (601) 833-7317

1308 Aston Ave
McComb, MS 39648
Phone (601) 250-5517

128 Courthouse Sq
#B
Monticello, MS 39654
Phone (601) 587-2112

136 Courthouse Sq
Monticello, MS 39654
Phone (601) 587-2563

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751587200000",
    "number": "1023280468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E BAY ST",
            "city": "MAGNOLIA",
            "state": "MS",
            "postal_code": "396522815",
            "telephone_number": "601-783-0220",
            "fax_number": "601-783-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E BAY ST",
            "city": "MAGNOLIA",
            "state": "MS",
            "postal_code": "396522815",
            "telephone_number": "601-783-0220",
            "fax_number": "601-783-0222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "314 Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "MS",
            "postal_code": "396543702",
            "country_code": "US",
            "telephone_number": "601-587-2563",
            "fax_number": "601-587-0472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 Brookway Blvd",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "MS",
            "postal_code": "396013266",
            "country_code": "US",
            "telephone_number": "601-833-7317",
            "fax_number": "601-835-0885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRI THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "601-833-7317",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05686296",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.