Active NPI
Andrea Tennessee McPhail, DPT
- Pediatric Physical Therapist
- Ridgeland, MS
National Provider Identifier
1073840500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT4539
- Practice address
- 115 W Jackson St
Suite F
Ridgeland, MS 39157-2428 - Phone
- (601) 672-1238
- NPI assigned
- Nov 4, 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT4539 | MS | Primary |
Addresses
Primary practice location
115 W Jackson St
Suite F
Ridgeland, MS 39157-2428
Mailing address
115 W Jackson St
Suite F
Ridgeland, MS 39157
Phone (601) 672-1238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4539 | MS | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257292800000",
"number": "1073840500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W JACKSON ST",
"address_2": "SUITE F",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "39157",
"telephone_number": "601-672-1238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W JACKSON ST",
"address_2": "SUITE F",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391572428",
"telephone_number": "601-672-1238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCPHAIL",
"first_name": "ANDREA",
"middle_name": "TENNESSEE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-04",
"last_updated": "2009-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "MS",
"license": "PT4539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.