Individual provider Active NPI

Misty McRae King, P.T.

  • Physical Therapist
  • Huntingdon, TN
National Provider Identifier
1043286263
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6136 Issued in TN
Practice address
3493 Veterans Dr N Ste D
Huntingdon, TN 38344-6229
Phone
(731) 209-4444
Fax
(731) 209-0137
NPI assigned
Feb 27, 2006
Last updated
Oct 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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 6136 TN Primary

Addresses

Primary practice location

3493 Veterans Dr N Ste D
Huntingdon, TN 38344-6229

Mailing address

800 Crescent Centre Dr Ste 300
Franklin, TN 37067-7285
Phone (615) 373-1350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041118000893 TN Practitioner - Physical Therapist in Private Practice 0042274037 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
East Tennessee State University Quillen College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamix Physical Therapy LLCGroup PAC ID 5193873933, 46 clinicians

Practice addresses (Care Compare)

103 Main St S
MC Kenzie, TN 38201-2200
Phone (731) 393-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6136TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Agilitas USA Inc CurrentSince Oct 1, 2004 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Oct 1, 2004 Accepting new patients
Dynamix Physical Therapy LLC CurrentSince Sep 22, 2022 Accepting new patients
Agilitas USA Inc Physical Therapist Current Accepting new patients
Kerry D. Friesen, M.D. PC Past Accepting new patients
Dynamix Physical Therapy LLC Physical Therapist PastSince Jun 3, 2025 Accepting new patients

Locations (25 of 27)

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

2035 E Shiloh Rd
Ste A
Corinth, MS 38834
Phone (662) 212-5250

5 N Lafayette Ave
Brownsville, TN 38012
Phone (731) 613-2214

309 Highway 641 N
Camden, TN 38320
Phone (731) 584-1722

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (866) 518-0283

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

973 Highway 51 N
Ste 16
Covington, TN 38019
Phone (901) 617-0100

143 Thornton Dr
Dickson, TN 37055
Phone (629) 235-7110

470 Mall Blvd
Ste D
Dyersburg, TN 38024
Phone (731) 259-9995

800 Crescent Centre Dr
Ste 300
Franklin, TN 37067

800 Crescent Centre Dr
Ste 600
Franklin, TN 37067
Phone (615) 416-0199

405 N Front St
Greenfield, TN 38230
Phone (731) 678-0221

3095 Eastend Dr
Humboldt, TN 38343
Phone (731) 824-2221

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

529 High St
Huntingdon, TN 38344
Phone (731) 418-8100

117 Bowling Dr
Jackson, TN 38305
Phone (731) 300-2202

1314 S Highland Ave
Jackson, TN 38301
Phone (731) 891-6006

1420 W Baddour Pkwy
Ste 120
Lebanon, TN 37087
Phone (615) 443-9036

104 Oxford St
Martin, TN 38237
Phone (731) 587-3422

103 Main St S
Mc Kenzie, TN 38201
Phone (731) 393-0504

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

2060 Rhino Xing
Milan, TN 38358
Phone (731) 613-2214

8586 US Highway 51 N
Millington, TN 38053
Phone (901) 430-8100

1023 Mineral Wells Ave
Ste E
Paris, TN 38242
Phone (731) 333-3306

17760 US Highway 64
Ste A
Somerville, TN 38068

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1043286263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR STE 300",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677285",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3493 VETERANS DR N STE D",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383446229",
            "telephone_number": "731-209-4444",
            "fax_number": "731-209-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MISTY",
        "middle_name": "MCRAE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "6136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.