Individual provider Active NPI

Cora G Scott, DPT

  • Physical Therapist
  • Booneville, MS
National Provider Identifier
1114791381
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7654 Issued in MS
Practice address
809 N 2ND St
Booneville, MS 38829-1309
Phone
(662) 728-7218
Fax
(662) 728-7228
NPI assigned
Nov 8, 2023
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT7654 MS Primary

Addresses

Primary practice location

809 N 2ND St
Booneville, MS 38829-1309

Mailing address

809 N 2ND St
Booneville, MS 38829-1309
Phone (662) 728-7218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231211002814 MS Practitioner - Physical Therapist in Private Practice 0840649257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encore Rehabilitation, IncGroup PAC ID 3577462126, 182 clinicians

Practice addresses (Care Compare)

499 Gloster Creek VLG
Suite F1
Tupelo, MS 38801-4705
Phone (662) 269-8006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT7654MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Rehabilitation, Inc. Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Encore Rehabilitation, Inc. Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Performance Physical Therapy, Inc. Physical Therapist CurrentSince Nov 8, 2023 Accepting new patients

Locations

251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708

42465 Highway 195
Haleyville, AL 35565
Phone (205) 486-2753

809 N 2nd St
Booneville, MS 38829
Phone (662) 365-5610

433 Main St
Leakesville, MS 39451
Phone (601) 394-4545

499 Gloster Creek Vlg
Ste F1
Tupelo, MS 38801
Phone (662) 269-8006

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1114791381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 N 2ND ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388291309",
            "telephone_number": "662-728-7218",
            "fax_number": "662-728-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N 2ND ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388291309",
            "telephone_number": "662-728-7218",
            "fax_number": "662-728-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CORA",
        "middle_name": "G",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT7654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.