Active NPI
Jessica Malone Rhaly, DPT
- Physical Therapist
- Ridgeland, MS
National Provider Identifier
1053647040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4588
- Practice address
- 950 E County Line Rd
Suite E
Ridgeland, MS 39157-1928 - Phone
- (601) 853-9747
- Fax
- (601) 898-4761
- NPI assigned
- Oct 26, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4588 | MS | Primary |
Addresses
Primary practice location
950 E County Line Rd
Suite E
Ridgeland, MS 39157-1928
Mailing address
199 Brookmoore Drive
Columbus, MS 39705
Phone (662) 327-6705
Other names 1
- Jessica K Rhaly
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4588 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Institute LLC | Physical Therapist | Past | Accepting new patients |
| Drayer Physical Therapy Mississippi LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
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- NPI 1952732448
-
dba Rehab At Work
- Physical Therapist
- Columbus, MS
- NPI 1073859807
-
- Physical Therapist
- Crystal Springs, MS
- NPI 1801333521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497398400000",
"number": "1053647040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 BROOKMOORE DRIVE",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "39705",
"telephone_number": "662-327-6705",
"fax_number": "662-327-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 E COUNTY LINE RD",
"address_2": "SUITE E",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391571928",
"telephone_number": "601-853-9747",
"fax_number": "601-898-4761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHALY",
"first_name": "JESSICA",
"middle_name": "MALONE",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-26",
"last_updated": "2017-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "4588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "RHALY",
"middle_name": "K",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.