Individual provider Active NPI

Misty McCoy Thompson, PT

  • Physical Therapist
  • Saltillo, MS
National Provider Identifier
1033269022
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2984 Issued in MS
Practice address
2319 Highway 145
Saltillo, MS 38866-9199
Phone
(662) 869-9970
Fax
(662) 869-9980
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2984 MS Primary

Addresses

Primary practice location

2319 Highway 145
Saltillo, MS 38866-9199

Mailing address

2319 Highway 145
Saltillo, MS 38866-9199
Phone (662) 869-9970

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140122001054 MS Practitioner - Physical Therapist in Private Practice 3678701505 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dpti Elite Physical Therapy LLC Physical Therapist CurrentSince Aug 24, 2015 Accepting new patients
Dpti Elite Physical Therapy LLC Physical Therapist CurrentSince Aug 24, 2015 Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist CurrentSince Jun 1, 2017 Accepting new patients
Advanced Rehabilitation, LLC Physical Therapist PastSince Oct 2, 2001 Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist Past Accepting new patients
Elite Physical Therapy Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

715 Highway 45
Baldwyn, MS 38824
Phone (662) 365-5610

117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330

2319 Highway 145
Saltillo, MS 38866
Phone (662) 869-9980

Organizations & group practices 6

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1033269022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 HIGHWAY 145",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388669199",
            "telephone_number": "662-869-9970",
            "fax_number": "662-869-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 HIGHWAY 145",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388669199",
            "telephone_number": "662-869-9970",
            "fax_number": "662-869-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MISTY",
        "middle_name": "MCCOY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT2984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saltillo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.