Active NPI
Corey C Daspit, PT, DPT
- Physical Therapist
- Picayune, MS
National Provider Identifier
1104443712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6895
- Practice address
- 1620 Highway 11 N Ste E
Picayune, MS 39466-2070 - Phone
- (769) 242-2626
- Fax
- (769) 242-2685
- NPI assigned
- Jun 30, 2020
- Last updated
- Jul 7, 2021
- Sex
- Male
- 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 | PT6895 | MS | Primary |
Addresses
Primary practice location
1620 Highway 11 N Ste E
Picayune, MS 39466-2070
Mailing address
1620 Highway 11 N Ste E
Picayune, MS 39466-2070
Phone (769) 242-2626
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 |
|---|---|---|---|
| PT6895 | MS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625616000000",
"number": "1104443712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 HIGHWAY 11 N STE E",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394662070",
"telephone_number": "769-242-2626",
"fax_number": "769-242-2685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 HIGHWAY 11 N STE E",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394662070",
"telephone_number": "769-242-2626",
"fax_number": "769-242-2685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DASPIT",
"first_name": "COREY",
"middle_name": "C",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-30",
"last_updated": "2021-07-07",
"certification_date": "2021-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT6895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Picayune, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.