Individual provider Active NPI

Allison Rutland, PT

  • Physical Therapist
  • Magee, MS
National Provider Identifier
1053088039
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7128 Issued in MS
Practice address
720 3Rd St SW
Magee, MS 39111-3995
Phone
(601) 439-7042
NPI assigned
Aug 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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 PT7128 MS Primary

Addresses

Primary practice location

720 3Rd St SW
Magee, MS 39111-3995

Mailing address

921 W Beacon St
Philadelphia, MS 39350-3229

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210924001135 MS Practitioner - Physical Therapist in Private Practice 5698172211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Therapy LLCGroup PAC ID 7012971047, 86 clinicians

Practice addresses (Care Compare)

720 A 3Rd St SW
Magee, MS 39111-3995
Phone (601) 439-7042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT7128MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Therapy LLC Physical Therapist CurrentSince Jun 16, 2021 Accepting new patients

Locations

720 3rd St SW
Magee, MS 39111
Phone (601) 439-7042

720A 3rd St SW
Magee, MS 39111
Phone (601) 439-7042

921 W Beacon St
Philadelphia, MS 39350
Phone (601) 650-0002

1058 Holland Ave
Philadelphia, MS 39350
Phone (601) 650-0002

Organizations & group practices 1

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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1053088039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 W BEACON ST",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393503229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 3RD ST SW",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113995",
            "telephone_number": "601-439-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLAND",
        "first_name": "ALLISON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT7128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magee, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.