Ellen Pyeatt

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA3533 Issued in MS

Practice address

101 Mills St
Brookhaven, MS 39601-2521

Phone

(601) 250-4815

NPI assigned

Oct 17, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1063664357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1369 AUBURN DR SW",
            "city": "BOGUE CHITTO",
            "state": "MS",
            "postal_code": "396298262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MILLS ST",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012521",
            "telephone_number": "601-250-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYEATT",
        "first_name": "ELLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "PTA3533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preferred Care Developmental Centers of Ms I Inc
• Daniel Wade Price, NP
• Purity Home Healthcare
• Purity Homemaker and Home Health Aide Care Services, LLC
• Jani L Purvis, MD
• Larry G Ray, LCSW
• RCG Mississippi, Inc.
• Tina R Reed-Hearn, CPN
• Thomas Albert Reid, D.M.D.
• Reinhard Clinic PLLC

• Physical Therapy Assistant in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Physical Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.