Individual provider Active NPI

Mary Margaret Crowson, PT, DPT

  • Physical Therapist
  • Starkville, MS
National Provider Identifier
1033407044
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4884 Issued in MS
Practice address
101 Wilburn Way
Starkville, MS 39759-3693
Phone
(662) 323-9200
Fax
(662) 323-9251
NPI assigned
Jul 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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 PT4884 MS Primary

Addresses

Primary practice location

101 Wilburn Way
Starkville, MS 39759-3693

Mailing address

2205 5TH St N
Columbus, MS 39705-2211
Phone (662) 243-1097

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251111003904 MS Practitioner - Physical Therapist in Private Practice 0941791545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sog Physical TherapyGroup PAC ID 1850627209, 20 clinicians

Practice addresses (Care Compare)

118 Hwy 12 W
Suite 1
Starkville, MS 39759-3760
Phone (662) 432-1523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT4884MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sog Physical Therapy Physical Therapist CurrentSince Oct 20, 2025 Accepting new patients
Specialty Orthopedic Group of Ms, PLLC PastSince Oct 20, 2025 Accepting new patients
Specialty Orthopedic Group of Mississippi PLLC PastSince Oct 20, 2025 Accepting new patients
S. Keith Holton, PLLC Past Accepting new patients

Locations

1945 Scottsville Rd
Ste B2
Bowling Green, KY 42104
Phone (270) 781-4828

199 N Brookmoore Dr
Columbus, MS 39705
Phone (662) 798-0108

118 Highway 12 W
Ste 1
Starkville, MS 39759
Phone (662) 432-1523

1211 S Gloster St
Ste C
Tupelo, MS 38801
Phone (662) 432-1523

Organizations & group practices 4

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1033407044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052211",
            "telephone_number": "662-243-1097",
            "fax_number": "662-243-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WILBURN WAY",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593693",
            "telephone_number": "662-323-9200",
            "fax_number": "662-323-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWSON",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT4884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.