Active NPI
Miranda P White, DPT
- Physical Therapist
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP048069T
- Practice address
- 1211 S Gloster St Ste C
Tupelo, MS 38801-6548 - Phone
- (662) 432-1523
- NPI assigned
- Apr 3, 2025
- 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 Therapist | 225100000X | CP043400T | LA | |
| Physical Therapist | 225100000X | CP048069T | MS | Primary |
Addresses
Primary practice location
1211 S Gloster St Ste C
Tupelo, MS 38801-6548
Mailing address
1211 S Gloster St Ste C
Tupelo, MS 38801-6548
Phone (662) 432-1523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, MS
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1211 S Gloster St
Suite C
Tupelo, MS 38801-6548
Phone (662) 432-1523
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP048069T | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sog Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Houma Orthopedic Clinic AMC | Current | Accepting new patients | |
| Houma Orthopedic Clinic AMC | Current | Accepting new patients | |
| Specialty Orthopedic Group of Mississippi PLLC | Past | Accepting new patients | |
| Specialty Orthopedic Group of Ms, PLLC | Past | Accepting new patients |
Locations
1945 Scottsville Rd
Ste B2
Bowling Green, KY 42104
Phone (270) 781-4828
1001 School St
Houma, LA 70360
Phone (504) 868-1540
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 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.
-
- Orthopaedic Surgery Physician
- Houma, LA
- NPI 1215940929
-
- Orthopaedic Surgery Physician
- Luling, LA
- NPI 1033070180
-
- Orthopaedic Surgery Physician
- Tupelo, MS
- NPI 1639553506
-
- Orthopaedic Surgery Physician
- Starkville, MS
- NPI 1518573575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1033913587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 S GLOSTER ST STE C",
"city": "TUPELO",
"state": "MS",
"postal_code": "388016548",
"telephone_number": "662-432-1523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 S GLOSTER ST STE C",
"city": "TUPELO",
"state": "MS",
"postal_code": "388016548",
"telephone_number": "662-432-1523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "MIRANDA",
"middle_name": "P",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-03",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "CP043400T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "CP048069T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.