James Brian Allen, DPT
Individual provider Active NPI Physical Therapist · Picayune, MS
NPI 1104547215 · NPPES record last updated Sep 7, 2022
Key facts
- NPI
- 1104547215
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 7430 (MS)
- Practice address
- 1620 Highway 11 N
Picayune, MS 39466-2070 - Phone
- (769) 242-2626
- Fax
- (769) 242-2685
- NPI assigned
- Sep 7, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Benchmark Physical Therapy of Mississippi LLC
Practice addresses (Care Compare)
4010 Bienville Blvd
Ocean Springs, MS 39564-5988
Phone (228) 300-6001
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221003000729 | MS | Practitioner - Physical Therapist in Private Practice | 0244616050 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7430 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy of Mississippi LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
4010 Bienville Blvd
Unit E
Ocean Springs, MS 39564
Phone (228) 300-6001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7430 | MS | Yes |
Addresses
Primary practice location
1620 Highway 11 N
Picayune, MS 39466-2070
Mailing address
7251 Big Island Rd
Moss Point, MS 39562-6938
Phone (228) 761-6460
Other providers in Picayune, MS
- Advanced Eyecare, LLC
- Advanced Laparoscopic Associates of Ms PC
- Betty Jo Alexander
- Kaylen Alexander
- Kelvinna McLemore Alexander
- Miranda Lynn Alphonso
- Calie Marie Alsobrooks
- Amedisys Mississippi, LLC
- Joseph Anderson
- Tristan Anderson
All providers in Picayune, MS · Physical Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.