Mark Chapin Bresee, MPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3201 Issued in MS

Practice address

600 Air Park Rd
Tupelo, MS 38801-7022

Phone

(662) 842-2100

Fax

(662) 842-2105

NPI assigned

Apr 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rebound Outpatient Physical Therapy PAGroup PAC ID 2860591120, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Rebound Outpatient Physical Therapy, PA

  • Physical Therapy Clinic/Center
  • Tupelo, MS
  • NPI 1407915754
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1104043728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 AIR PARK RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388017022",
            "telephone_number": "662-842-2100",
            "fax_number": "662-842-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 AIR PARK RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388017022",
            "telephone_number": "662-842-2100",
            "fax_number": "662-842-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESEE",
        "first_name": "MARK",
        "middle_name": "CHAPIN",
        "name_prefix": "Mr.",
        "credential": "MPT, OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT3201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR MY S-CORPORATION",
            "identifier": "1407915754",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martisa Shondell Braylock, MA
• Breathe LLC
• Mimi Cleveland Breedlove, CRNA
• Charity Brees, NNP-BC
• Ellen Bresee
• Brian Thomas Psy D PLLC
• Alyssa Bridges
• Zachary Bridges, DPT
• Michelle Gardner Briley, FNP-C
• Steven Lloyd Brister, MD

• Physical Therapist in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.